Jeremy Martin Riedesel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

257766 Issued in NY

Practice address

95 E Chautauqua St
Mayville, NY 14757-0168

Phone

(716) 753-7107

Fax

(716) 753-5367

NPI assigned

May 28, 2010

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Cincinnati College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Health Medical Services PLLCGroup PAC ID 9133221666, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
• Chautauqua Hospice and Palliative Care Hospice, Lakewood, NY, CCN 331554
• Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801
• Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
• Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330166
• Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jriedesel153981@direct.ahn.org
• Direct secure messaging: jrledesel@fhms.medentdirect.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Westfield Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Westfield, NY
  • NPI 1942236427

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Medical Services PLLC

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1619072204
  Medicare reassignment Care Compare group NPD
• Family Health Medical Services Jamestown Convenience Care

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1801104583
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Westfield Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Westfield, NY
  • NPI 1942236427
  Care Compare affiliation Name & address match
• Brooks - TLC Hospital System Inc

  • Family Medicine Physician
  • Gowanda, NY
  • NPI 1538419502

  Hospital

  Care Compare affiliation
• Brooks - TLC Hospital System, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Derby, NY
  • NPI 1225654494

  Hospital

  Care Compare affiliation
• Brooks - TLC Hospital System, Inc.

  • Urgent Care Clinic/Center
  • Gowanda, NY
  • NPI 1487738886

  Hospital

  Care Compare affiliation
• Brooks-TLC Hospital System, Inc.

  • General Acute Care Hospital
  • Dunkirk, NY
  • NPI 1215917224
  Care Compare affiliation
• Chautauqua Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Lakewood, NY
  • NPI 1639255250
  Care Compare affiliation
• Upmc Chautauqua at Wca

  dba UPMC Chautauqua WCA

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Jamestown, NY
  • NPI 1568023687
  Care Compare affiliation
• Upmc Chautauqua at Wca

  dba UPMC Chautauqua WCA

  • General Acute Care Hospital
  • Jamestown, NY
  • NPI 1770573222
  Care Compare affiliation
• Visiting Nursing Association of Western New York, Inc.

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1730268384
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1851610950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ALLEN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016968",
            "telephone_number": "716-338-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E CHAUTAUQUA ST",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147570168",
            "telephone_number": "716-753-7107",
            "fax_number": "716-753-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDESEL",
        "first_name": "JEREMY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD437884",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "257766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- TYPE UNSPECIFIED",
            "identifier": "J400023488",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03247270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Elaine Perkins, RN, BS
• Carmen Lynette Perry, M.S. CCC-SLP
• John T Peterson Jr., LMSW
• Amber Proper
• Mary H. Richardson, RN
• Robert Berke MD (Family Health Services)
• Amy Rosenberg-Snyder
• Alexander Z Selioutski, M.D.
• Roy M Sleboda, RPA-C
• Scott Swanson, PT

• Family Medicine Physician in Mayville, NY
• Providers in Mayville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.