J Timothy Riley, M D - Medicare Vascular Surgery in Syracuse, NY

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J Timothy Riley, M D is a medicare enrolled "Surgery - Vascular Surgery" physician in Syracuse, New York. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1999 and has 26 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Queens Professional Medical Services Of New York Llc, Usa Medical Of Bensonhurst Llc, Pelham Pkwy Medical Of New York Llc, Fordham Medical Of New York Llc, Bushwick Medical Of New York Llc, Foxhurst Medical Of New York Llc, Pelham Pkwy Professional Medical Services Of New York Llc, New York Professional Medical Services Llc and his current practice location is 104 Union Ave., Ste 1005, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 424-0253.

J Timothy Riley is licensed to practice in New York (license number 245175) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1609076629.

Contact Information

J Timothy Riley, M D
104 Union Ave., Ste 1005,
Syracuse, NY 13203-2761
(315) 424-0253
Not Available

Map and Direction




Physician's Profile

Full NameJ Timothy Riley
GenderMale
SpecialityVascular Surgery
Experience26 Years
Location104 Union Ave., Syracuse, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • J Timothy Riley attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1999
  NPI Data:
  • NPI Number: 1609076629
  • Provider Enumeration Date: 07/18/2007
  • Last Update Date: 07/20/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6406944396
  • Enrollment ID: I20071109000361

Medical Identifiers

Medical identifiers for J Timothy Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609076629NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 245175 (New York)Primary

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. J Timothy Riley allows following entities to bill medicare on his behalf.
Entity NameSt Joseph's Physician Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154376770
PECOS PAC ID: 9436041431
Enrollment ID: O20040325001159
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744
Entity NameQueens Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730439704
PECOS PAC ID: 3870748692
Enrollment ID: O20130228000375
Entity NameUsa Medical Of Manhattan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114277175
PECOS PAC ID: 7911142054
Enrollment ID: O20130320000763
Entity NameUsa Medical Of Bensonhurst Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780028597
PECOS PAC ID: 3173746799
Enrollment ID: O20140528001303
Entity NameNew York Professional Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639518848
PECOS PAC ID: 9537483565
Enrollment ID: O20150123000194
Entity NamePelham Pkwy Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285156067
PECOS PAC ID: 4082976386
Enrollment ID: O20180327000712
Entity NameSt Nicholas Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033631064
PECOS PAC ID: 7618231457
Enrollment ID: O20180503001031
Entity NamePelham Pkwy Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063926962
PECOS PAC ID: 9335404557
Enrollment ID: O20180517001134
Entity NameQueens Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184138091
PECOS PAC ID: 2062777527
Enrollment ID: O20180604001787
Entity NameJamaica Queens Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578080966
PECOS PAC ID: 0042575557
Enrollment ID: O20180605000934
Entity NameFoxhurst Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730547522
PECOS PAC ID: 6901151778
Enrollment ID: O20180619001805
Entity NameNorwood Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336628130
PECOS PAC ID: 4284987454
Enrollment ID: O20181106000429
Entity NameBushwick Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720565922
PECOS PAC ID: 5092068262
Enrollment ID: O20181106000485
Entity NameNorwood Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528547312
PECOS PAC ID: 4183977366
Enrollment ID: O20181106000914
Entity NameBushwick Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003393299
PECOS PAC ID: 0648516617
Enrollment ID: O20190111001240
Entity NameFordham Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205332905
PECOS PAC ID: 4284972621
Enrollment ID: O20190211002377
Entity NameSyracuse Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457983181
PECOS PAC ID: 1355770553
Enrollment ID: O20200409002928

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. J Timothy 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
J Timothy Riley, M D
104 Union Ave., Ste 1005,
Syracuse, NY 13203-2761

Ph: (315) 424-0253		J Timothy Riley, M D
104 Union Ave., Ste 1005,
Syracuse, NY 13203-2761

Ph: (315) 424-0253

Reviews and Comments


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