| Keyan D Riley, MD | |
|
1400 E Boulder St, Colorado Springs, CO 80909-5533 | |
| (850) 883-8505 | |
| (719) 333-5836 |
| Full Name | Keyan D Riley |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 1400 E Boulder St, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083793269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01054940A (Indiana) | Secondary |
| 208600000X | Surgery | ME97657 (Florida) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | DR0051146 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Keyan D Riley, MD 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (850) 883-8505 | Keyan D Riley, MD 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (850) 883-8505 |
Khurram Ahmad Khan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1633 Medical Center Point, Colorado Springs, CO 80907 Phone: 719-475-9800 Fax: 719-473-5436 | |
Thomas J. Schroeppel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909 Phone: 719-364-6487 Fax: 719-364-6488 | |
Dr. Amilu Rothhammer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1633 Medical Center Pt, Colorado Springs, CO 80907 Phone: 719-475-9800 | |
Dr. Lisa Lynn Schlitzkus, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 500, Colorado Springs, CO 80909 Phone: 719-364-6487 | |
Gregory Carlson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909 Phone: 719-365-6487 Fax: 719-364-6488 | |
Dr. John Lindley Frerichs, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4925 N Nevada Ave, Room 416, Colorado Springs, CO 80918 Phone: 719-425-0933 | |
Dr. William C Chambers Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907 Phone: 719-635-2501 Fax: 719-632-1062 |