Individual provider Active NPI

Elise Canfield Riley, MD

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1881706083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0053098 Issued in MD
Practice address
7987 Georgia Ave
Holy Cross Hospital Health Center
Silver Spring, MD 20910-4838
Phone
(301) 754-7473
Fax
(301) 562-5589
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0053098 MD Primary

Addresses

Primary practice location

7987 Georgia Ave
Holy Cross Hospital Health Center
Silver Spring, MD 20910-4838

Mailing address

713 Milestone Dr
Silver Spring, MD 20904-2708
Phone (301) 681-7894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20141110000326 DC Practitioner - Internal Medicine 5991927899 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053098MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Sep 7, 2014 Accepting new patients
Professional Services of Holy Cross CurrentSince Sep 7, 2014 Accepting new patients

Locations

201 Russell Ave
Gaithersburg, MD 20877
Phone (301) 216-4157

3720 Farragut Ave
Fl 2
Kensington, MD 20895
Phone (301) 949-4242

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

7987 Georgia Ave
Silver Spring, MD 20910
Phone (301) 557-1870

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881706083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MILESTONE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042708",
            "telephone_number": "301-681-7894",
            "fax_number": "301-562-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7987 GEORGIA AVE",
            "address_2": "HOLY CROSS HOSPITAL HEALTH CENTER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104838",
            "telephone_number": "301-754-7473",
            "fax_number": "301-562-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ELISE",
        "middle_name": "CANFIELD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.