Active NPI
John P Riley, MD
- Pediatric Adolescent Medicine Physician
- Lexington, KY
National Provider Identifier
1881662633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 20078
- Practice address
- 3050 Harrodsburg Rd
Lexington, KY 40503-2747 - Phone
- (859) 277-6102
- Fax
- (859) 977-0237
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 20078 | KY | Primary |
| Pediatrics Physician | 208000000X | 20078 | KY |
Addresses
Primary practice location
3050 Harrodsburg Rd
Lexington, KY 40503-2747
Mailing address
3050 Harrodsburg Rd
Lexington, KY 40503-2747
Phone (859) 277-6102
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20078 | KY | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1881662633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 HARRODSBURG RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032747",
"telephone_number": "859-277-6102",
"fax_number": "859-977-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 HARRODSBURG RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032747",
"telephone_number": "859-277-6102",
"fax_number": "859-977-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JOHN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "KY",
"license": "20078",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "20078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.