Active NPI
Michael David Riley, D.O.
- Facial Plastic Surgery Physician
- Largo, FL
National Provider Identifier
1912909797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- OS2943
- Practice address
- 13644 Walsingham Rd
Largo, FL 33774-3532 - Phone
- (727) 596-3441
- Fax
- (727) 596-3441
- NPI assigned
- Aug 11, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | OS2943 | FL | Primary |
Addresses
Primary practice location
13644 Walsingham Rd
Largo, FL 33774-3532
Mailing address
13644 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 596-3441
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS2943 | FL | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912909797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13644 WALSINGHAM RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337743532",
"telephone_number": "727-596-3441",
"fax_number": "727-596-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13644 WALSINGHAM RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337743532",
"telephone_number": "727-596-3441",
"fax_number": "727-596-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "FL",
"license": "OS2943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.