Active NPI
Michael Ben Andrew Riley, LSA, CSA
- Surgical Physician Assistant
- Spring, TX
National Provider Identifier
1851566020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00319
- Practice address
- 8215 Lichen LN
Spring, TX 77379-4517 - Phone
- (832) 559-3870
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA00319 | TX | Primary |
Addresses
Primary practice location
8215 Lichen LN
Spring, TX 77379-4517
Mailing address
PO Box 11807
Spring, TX 77391-1807
Phone (713) 992-1086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0027SX | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00319 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zephyr Surgical Assist, L.L.C. | Surgical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Physician Assistant
- Houston, TX
- NPI 1730746595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1851566020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11807",
"city": "SPRING",
"state": "TX",
"postal_code": "773911807",
"telephone_number": "713-992-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8215 LICHEN LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773794517",
"telephone_number": "832-559-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MICHAEL",
"middle_name": "BEN ANDREW",
"name_prefix": "Mr.",
"credential": "LSA, CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0027SX",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.