Thomas M. Reilly, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

01047334A Issued in IN

Practice address

821 N Dixon Rd
Kokomo, IN 46901-1754

Phone

(765) 450-0111

Fax

(765) 553-5504

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in IN

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

Orthopedic Surgery

Education

Perelman School of Med at the University of Pennsylvania, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Spine Group, PCGroup PAC ID 4082502349, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Pendleton, IN, CCN 157059
• Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
• Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007
• Dukes Memorial Hospital Hospital, Peru, IN, CCN 151318
• Woodlawn Hospital Hospital, Rochester, IN, CCN 151313

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: treilly61620@ecommunitydirect.com

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.

• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Carmel, IN
  • NPI 1609960046
  Medicare reassignment Care Compare group NPD
• Indiana Spine Group, PC

  • Neurological Surgery Physician
  • Fishers, IN
  • NPI 1467639567

  Orthopaedic Surgery of the Spine

  NPD
• Indiana Spine Group, PC

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, IN
  • NPI 1508220633

  Orthopaedic Surgery of the Spine

  NPD
• Indianapolis Neurosurgical Group PC

  dba Goodman Campbell Brain and Spine

  • Neurological Surgery Physician
  • Carmel, IN
  • NPI 1275580318
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Community Howard Regional Health, Inc

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1902878994
  Care Compare affiliation
• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Critical Access Hospital
  • Peru, IN
  • NPI 1619920949
  Care Compare affiliation
• St. Joseph Hospital & Health Center, Inc.

  dba Ascension St. Vincent Kokomo

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1780625442
  Care Compare affiliation
• St.Vincent Home Health-Anderson, LLC

  dba Ascension at Home

  • Home Health Agency
  • Pendleton, IN
  • NPI 1942376843
  Care Compare affiliation
• Woodlawn Hospital

  • Critical Access Hospital
  • Rochester, IN
  • NPI 1265413405
  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1861597387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469011754",
            "telephone_number": "765-450-0111",
            "fax_number": "765-553-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "THOMAS",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IN",
            "license": "01047334A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE PROVIDER NUMBER",
            "identifier": "000000224240",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-PLAN PROVIDER NUMBER",
            "identifier": "000000020552",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200186170",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00108315",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000224240",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "366735000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5174577",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustardie D Reed, MD
• Madison Reed, LMHC
• Damon Reel
• Regenerations Health
• Regional Chiropractic Center Inc
• Eric James Reimnitz
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Shelby Renn
• Replay Physical Therapy

• Orthopaedic Surgery of the Spine Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Orthopaedic Surgery of the Spine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.