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

Q: 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.

Q: What is Dinee Riley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dinee Riley was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

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: October 18, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Dinee Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Medical Group, P.C.

14 mi

Family Medicine

3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022

Reassigned Medicare billing, Georgia enrollment
240 clinicians in this Medicare group

NPI 1235296054 (770) 442-1911

Northside Primary Care Professional Services, LLC

18 mi

Urgent Care

81 NORTHSIDE DAWSON DRIVE
Dawsonville, GA 30534

Reassigned Medicare billing, Georgia enrollment
466 clinicians in this Medicare group

NPI 1215369715 (855) 709-4535

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

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.

DR. BLAIR FUNK MD

Family Medicine

1525 BUFORD HWY
BUFORD, GA 30518

Gwinnett County (770) 945-1699

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.

Which organizations bill Medicare for Dinee Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dinee Riley reassigns Medicare benefits to 2 organizations: Southeast Medical Group, P.C. (Alpharetta, GA) and Northside Primary Care Professional Services, LLC (Dawsonville, GA). 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 Dinee Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.