Dr James Edward Riley, MD - Medicare Family Practice in Capitola, CA

Dr James Edward Riley, MD is a medicare enrolled "Family Medicine" physician in Capitola, California. He went to New York University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 528 Capitola Ave, Capitola, California. You can reach out to his office (for appointments etc.) via phone at (831) 475-1630.

Dr James Edward Riley is licensed to practice in California (license number A63461) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750484754.

Contact Information

Dr James Edward Riley, MD
528 Capitola Ave,
Capitola, CA 95010-2750
(831) 475-1630
(831) 475-1629

Map and Direction




Physician's Profile

Full NameDr James Edward Riley
GenderMale
SpecialityFamily Practice
Experience28 Years
Location528 Capitola Ave, Capitola, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Edward Riley attended and graduated from New York University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1750484754
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 01/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587755657
  • Enrollment ID: I20070802000667

Medical Identifiers

Medical identifiers for Dr James Edward Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750484754NPI-NPPES
GR0028553OtherCAMEDI-CAL ID NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A63461 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James Edward Riley allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Edward Riley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James Edward Riley, MD
528 Capitola Ave,
Capitola, CA 95010-2750

Ph: (831) 475-1630
Dr James Edward Riley, MD
528 Capitola Ave,
Capitola, CA 95010-2750

Ph: (831) 475-1630

Reviews and Comments


Family Medicine Doctors in Capitola, CA

Mr. Robert P. Chen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 528 Capitola Ave, Capitola, CA 95010
Phone: 831-475-1630    Fax: 831-475-1629
Mr. Kevin J Hasenauer, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 528 Capitola Ave, Capitola, CA 95010
Phone: 831-475-1630    Fax: 831-475-1629
Daniel E Temple, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 528 Capitola Ave, Capitola, CA 95010
Phone: 831-475-1630    Fax: 831-475-1629
Filomena Fatima Trindade, M.D., M.P.H.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 720 Capitola Ave Ste A, Capitola, CA 95010
Phone: 831-462-4441    Fax: 831-426-4494
Mr. Gael F Decleve, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 528 Capitola Ave, Capitola, CA 95010
Phone: 831-475-1630    Fax: 831-475-1629
Tooba Khan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 528 Capitola Ave, Capitola, CA 95010
Phone: 831-475-1630    
Mrs. Nancy L Greenstreet, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 528 Capitola Ave, Capitola, CA 95010
Phone: 831-475-1630    Fax: 831-475-1629

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.