Individual provider Active NPI

Robert J Riley, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1871608562
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0053897 Issued in MD
Practice address
3700 Fleet St
Ste 200
Baltimore, MD 21224-4200
Phone
(410) 558-4900
Fax
(410) 522-5070
NPI assigned
Aug 20, 2006
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0053897 MD Primary

Addresses

Primary practice location

3700 Fleet St
Ste 200
Baltimore, MD 21224-4200

Mailing address

3501 Sinclair LN
Baltimore, MD 21213-2029
Phone (410) 732-8800

Other identifiers 1

IdentifierTypeStateIssuer
870201280MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20040405000477 MD Practitioner - Psychiatry 3779576004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Key Point Health Services, Inc.Group PAC ID 1052307774, 30 clinicians

Practice addresses (Care Compare)

1012 N Point Rd
Baltimore, MD 21224-3338
Phone (443) 216-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0053897MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Key Point Health Services, Inc. CurrentSince Mar 23, 2020 Accepting new patients
Key Point Health Services, Inc. Current Accepting new patients
Key Point Health Services, Inc CurrentSince Mar 23, 2020 Accepting new patients
Center for Eating Disorders PA Psychiatry CurrentSince Oct 14, 2003 Accepting new patients
Baltimore Medical System Inc PastSince Jun 18, 2023 Accepting new patients
University of Maryland Psychiatry Associates, PA Psychiatry Past Accepting new patients

Locations

135 N Parke St
Aberdeen, MD 21001
Phone (443) 625-1600

1012 S North Point Rd
Baltimore, MD 21224
Phone (410) 285-2110

500 N Rolling Rd
Catonsville, MD 21228
Phone (410) 788-0300

101 Schilling Rd
Ste 40A
Hunt Valley, MD 21031
Phone (410) 427-3900

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7601 Osler Dr
Fl 4
Towson, MD 21204
Phone (410) 427-2100

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1871608562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132029",
            "telephone_number": "410-732-8800",
            "fax_number": "410-534-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FLEET ST",
            "address_2": "STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244200",
            "telephone_number": "410-558-4900",
            "fax_number": "410-522-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0053897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870201280",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.