Individual provider Active NPI

Nathan Riley, MD

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Louisville, KY
National Provider Identifier
1912325820
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
52819 Issued in KY
Practice address
305 Fairlawn Rd
Louisville, KY 40207-2909
Phone
(412) 498-1444
NPI assigned
Mar 29, 2014
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 52819 KY
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X 52819 KY Primary

Addresses

Primary practice location

305 Fairlawn Rd
Louisville, KY 40207-2909

Mailing address

305 Fairlawn Rd
Louisville, KY 40207-2909
Phone (412) 498-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190523002886 KY Practitioner - Hospice/Palliative Care 6800189457 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52819KYMDHospice and Palliative Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc CurrentSince Sep 1, 2019 Accepting new patients
Obhg Kentucky, P.S.C. Obstetrics & Gynecology CurrentSince Jul 20, 2019 Accepting new patients
Norton Hospitals, Inc CurrentSince Sep 1, 2019 Accepting new patients

Locations

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

Organizations & group practices 3

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1912325820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FAIRLAWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072909",
            "telephone_number": "412-498-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FAIRLAWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072909",
            "telephone_number": "412-498-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "52819",
            "primary": false
        },
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "52819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.