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RILEY DICKSON
NPI 1043952369
Emergency Medicine in Fresno, CA

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
1303 E HERNDON AVE, FRESNO, CA 93720(707) 312-1967 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2025, Aug 8, 2024, Apr 7, 2022 (3 updates tracked since 2022).

About Riley Dickson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RILEY DICKSON (NPI 1043952369) is an individual emergency medicine provider in Fresno, California, licensed in California (A190125) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, and is a graduate of Loma Linda University School Of Medicine (2022).

NPPES Registry Identity

NPI1043952369
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRILEY DICKSON
Location Address1303 E HERNDON AVEFresno, CA 93720-3309
Mailing Address1303 E Herndon AveFresno, CA 93720-3309 · (707) 312-1967
Phone(707) 312-1967
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2022
Enumeration DateApril 7, 2022
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1043952369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A190125✔ Licensed in NV · 27068
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1303 E HERNDON AVE, Fresno, CA 93720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Riley Dickson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466990718
PECOS Enrollment IDI20240816003275, I20250801001904
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Riley Dickson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California
Same address
Emergency Medicine
1303 E HERNDON AVE
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1396172615 (559) 450-3000
American Specialty Physicians Group Inc
87 mi
Emergency Medicine
700 17TH ST STE 205
Modesto, CA 95354
  • Reassigned Medicare billing, California enrollment
  • 180 clinicians in this Medicare group
NPI 1164363024 (877) 346-2211
Vituity-Nevada Medical Services Koury & Partners PC
167 mi
Emergency Medicine
880 ALDER AVE
Incline Village, NV 89451
  • Reassigned Medicare billing, Nevada enrollment
  • 100 clinicians in this Medicare group
NPI 1396585154 (775) 833-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Rose Dominican Hospitals - Rose De Lima

Acute Care Hospitals · Henderson, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number290012
Location102 E Lake Mead DrHenderson, NV 89015 · Clark County
Emergency services

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290053
Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - North Las Vegas

Acute Care Hospitals · North Las Vegas, NV
OwnershipProprietary
CMS Certification Number290058
Location1550 W Craig RanchNorth Las Vegas, NV 89031 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINA EMAD HANDAL MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
WILLIAM B ETIZ DO
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
DR. THOMAS FUENTEZ JR. CRNA
Nurse Anesthetist, Certified Registered
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
DR. DEREK YIP MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
EKTA CHUGH MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
YANG J KIM MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
JOHN S STURMAN MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
VALLEY NUCLEAR MEDICAL GROUP
Nuclear Medicine (Nuclear Imaging & Therapy)
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 449-3109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riley Dickson's NPI number?

The NPI number for Riley Dickson is 1043952369. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Riley Dickson located?

Riley Dickson practices at 1303 E Herndon Ave, Fresno, CA 93720. The listed phone number is (707) 312-1967.

What is Riley Dickson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Riley Dickson enrolled in Medicare?

Yes. Riley Dickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Riley Dickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Dickson reassigns Medicare benefits to 3 organizations: Cep America - California (Fresno, CA), American Specialty Physicians Group Inc (Modesto, CA) and Vituity-Nevada Medical Services Koury & Partners PC (Incline Village, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Riley Dickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Riley Dickson affiliated with any hospitals?

According to CMS data, Riley Dickson is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, Saint Rose Dominican Hospitals - Siena Campus, Saint Rose Dominican Hospitals - San Martin Campus and Saint Rose Dominican Hospitals - North Las Vegas.

When was this NPI record last updated?

The NPPES record for Riley Dickson was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.