MR. DAVID ROBERT RIEDEL MD
NPI 1073505004
Internal Medicine - Gastroenterology in Alton, IL

Q: What is David Riedel's NPI number?

The NPI number for David Riedel is 1073505004. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Q: What is David Riedel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for David Riedel was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 16, 2005PECOS Enrolled

4 MEMORIAL DR STE 230, ALTON, IL 62002(618) 463-7874(618) 463-7846 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. David Robert Riedel Md NPPES

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

MR. DAVID ROBERT RIEDEL MD (NPI 1073505004) is an individual gastroenterology provider in Alton, Illinois, licensed in Illinois (036-060307) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alton.

NPPES Registry Identity

NPI1073505004

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMR. DAVID ROBERT RIEDELCredential: MD

Location Address4 MEMORIAL DR STE 230Alton, IL 62002-6704

Mailing Address4 Memorial Dr Ste 230Alton, IL 62002-6704 · (618) 463-7874 · Fax (618) 463-7846

Phone(618) 463-7874

Fax(618) 463-7846

Sole ProprietorYes

Enumeration DateAugust 16, 2005

Last NPPES UpdateMarch 12, 2021

NPPES CertifiedMarch 12, 2021

✔ NPI 1073505004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036-060307

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4 MEMORIAL DR STE 230, Alton, IL 62002

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Secondary Practice Location 1

Location 13550 College Ave, Suite BAlton, IL 62002-5008 · Phone (618) 462-3200 · Fax (618) 463-5003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Robert Riedel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show David Riedel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Heights Medical Group, Sc

25 mi

Internal Medicine

670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Illinois enrollment
507 clinicians in this Medicare group

NPI 1811392210 (314) 996-7644

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 3

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.

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

33 services33 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

19 services19 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 18

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

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Family Medicine (Sleep Medicine)