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MISS DINEE MONIQUE RILEY MD
NPI 1063407377
Internal Medicine in Buford, GA

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
1525 BUFORD HWY, BUFORD, GA 30518(770) 945-1699(770) 945-1698 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2022, Nov 14, 2018 (2 updates tracked since 2018).

About Miss Dinee Monique Riley Md NPPES

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

MISS DINEE MONIQUE RILEY MD (NPI 1063407377) is an individual internal medicine provider in Buford, Georgia, licensed in Georgia (54502) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Wright State University Boonshoft School Of Medicine (1996).

NPPES Registry Identity

NPI1063407377
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMISS DINEE MONIQUE RILEYCredential: MD
Location Address1525 BUFORD HWYBuford, GA 30518-3665
Mailing Address1525 Buford HwyBuford, GA 30518-3665 · (770) 945-1699 · Fax (770) 945-1698
Phone(770) 945-1699
Fax(770) 945-1698
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1996
Enumeration DateSeptember 13, 2005
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1063407377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 54502✔ Licensed in GA · 054502
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1525 BUFORD HWY, Buford, GA 30518
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Dinee Monique Riley Md 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 ID941268460
PECOS Enrollment IDI20041229000836
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services32 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30518 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 2

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

MICHAEL NABIL KHOURY M.D.
Psychiatry & Neurology (Neurology)
1525 BUFORD HWY
BUFORD, GA 30518
Gwinnett County (470) 325-1300
SRIJANA SHARMA MD
Internal Medicine
1525 BUFORD HWY
BUFORD, GA 30518
Gwinnett County (770) 945-1699

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 Dinee Riley's NPI number?

The NPI number for Dinee Riley is 1063407377. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Dinee Riley located?

Dinee Riley practices at 1525 Buford Hwy, Buford, GA 30518. The listed phone number is (770) 945-1699.

What is Dinee Riley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dinee Riley enrolled in Medicare?

Yes. Dinee Riley 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.

What insurance does Dinee Riley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dinee Riley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dinee Riley affiliated with any hospitals?

According to CMS data, Dinee Riley is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Piedmont Eastside Medical Center and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Dinee Riley was last updated on November 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.