Individual provider Active NPI

Edward Clark Riley III, D.O.

  • Family Medicine Physician
  • Kansas City, KS
National Provider Identifier
1902856719
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-37428 Issued in KS
Practice address
8929 Parallel Pkwy
Kansas City, KS 66112-1689
Phone
(913) 596-4000
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7932A WY
Family Medicine Physician 207Q00000X DO624 AL
Family Medicine Physician 207Q00000X 05-37428 KS Primary

Addresses

Primary practice location

8929 Parallel Pkwy
Kansas City, KS 66112-1689

Mailing address

255 North 30TH Street
Ivinson Memorial Hospital
Laramie, WY 82072
Phone (307) 742-2141

Other practice location 1

255 North 30th Street
Ivinson Memorial Hospital
Laramie, WY 82072
Phone (307) 742-2141 ext. 2204

Other identifiers 3

IdentifierTypeStateIssuer
009917200MedicaidAL
51045390OtherALBLUE CROSS BLUE SHIELD
080155685OtherRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS, WV, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090709000562 TX Practitioner - Emergency MedicinePractitioner - Family Practice 7911091491 Reassigns benefits to 4 organizations
I20140915002546 KS Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Emergency Medicine 7911091491 Reassigns benefits to 1 organization
I20171219002433 WV Practitioner - Emergency Medicine 7911091491 Reassigns benefits to 3 organizations
I20210630000920 CO Practitioner - Emergency Medicine 7911091491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

13725 Northwest Blvd
Corpus Christi Medical Center
Corpus Christi, TX 78410-5127
Phone (361) 767-4300

Hospital & facility affiliations

  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7932AWYMDEmergency Medicine Physician
DO624ALMDFamily Medicine Physician
05-37428KSMDFamily Medicine Physician
624ALMDSpeech-Language Pathologist
2989WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Eastern Kansas Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Nov 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Oct 4, 2024 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Nov 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 30, 2021 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 30, 2021 Accepting new patients
Urgent Care Solutions Glendale, P.C. Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Intrawest Medical Services, P.C Past Accepting new patients
Demopolis Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients

Locations

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000

1295 N Colorado Blvd
Denver, CO 80206
Phone (303) 399-6120

760 S Colorado Blvd
Unit A
Glendale, CO 80246
Phone (303) 692-8000

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1902856719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NORTH 30TH STREET",
            "address_2": "IVINSON MEMORIAL HOSPITAL",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-742-2141",
            "fax_number": "307-742-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121689",
            "telephone_number": "913-596-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 North 30th Street",
            "address_2": "Ivinson Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "82072",
            "country_code": "US",
            "telephone_number": "307-742-2141 x2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "EDWARD",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "7932A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO624",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-37428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009917200",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51045390",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080155685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.