Individual provider Active NPI

Robert C Reilly, M.D.

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1992725089
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME116741 Issued in FL
Practice address
1050 Old Camp Rd Ste 100
The Villages, FL 32162-1762
Phone
(352) 674-8960
Fax
(352) 674-8960
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 235350 NY
Internal Medicine Physician 207R00000X ME116741 FL Primary

Addresses

Primary practice location

1050 Old Camp Rd Ste 100
The Villages, FL 32162-1762

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8820

Other identifiers 4

IdentifierTypeStateIssuer
ME116741OtherFLFLORIDA MEDICAL LICENSE
02710938MedicaidNY
179SZ2OtherNYEMPIRE BC.BS
7347764OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130729000289 FL Practitioner - Internal Medicine 5597787366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care Vitality IncGroup PAC ID 4486152899, 144 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 674-1760

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

280 Farner PL
The Villages, FL 32163-6066
Phone (352) 674-1710

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116741FLMDInternal Medicine Physician
235350NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Villages Health System LLC CurrentSince Jul 1, 2013 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine CurrentSince Nov 7, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine CurrentSince Nov 7, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine CurrentSince Aug 17, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Lake Sumter Lndg
The Villages, FL 32162

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

1050 Old Camp Rd
The Villages, FL 32162
Phone (352) 606-4708

1050 Old Camp Rd
Ste 100
The Villages, FL 32162
Phone (352) 674-1760

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.reilly.1@18324.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1992725089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8820",
            "fax_number": "352-674-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD STE 100",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "352-674-8960",
            "fax_number": "352-674-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235350",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME116741",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02710938",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC.BS",
            "identifier": "179SZ2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7347764",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.