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MR. TIMOTHY JOSEPH RILEY CRNA
NPI 1093994006
Nurse Anesthetist, Certified Registered in Bellevue, WA

Active since October 25, 2007
11511 NE 10TH ST, BELLEVUE, WA 98004(425) 502-3000(425) 502-3589 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Timothy Joseph Riley Crna NPPES

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

MR. TIMOTHY JOSEPH RILEY CRNA (NPI 1093994006) is an individual nurse anesthetist, certified registered in Bellevue, Washington, licensed in Massachusetts (RN253366) and active in the NPI registry since October 2007. He maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1093994006
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. TIMOTHY JOSEPH RILEYCredential: CRNA
Location Address11511 NE 10TH STBellevue, WA 98004-8578
Mailing Address243 Charles StBoston, MA 02114-3002 · (617) 573-3380
Phone(425) 502-3000
Fax(425) 502-3589
Sole ProprietorNo
Enumeration DateOctober 25, 2007
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1093994006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MA · RN253366
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
11511 NE 10TH ST, Bellevue, WA 98004
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Secondary Practice Location 1

Location 1243 Charles StBoston, MA 02114-3002 · Phone (617) 573-3380

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Joseph Riley Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Lake Washington Anesthesia PLLC
6.7 mi
Nurse Anesthetist, Certified Registered
11800 NE 128TH ST, SUITE 100
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 61 clinicians in this Medicare group
NPI 1962935197 (425) 899-4500
Kaiser Foundation Health Plan Of Washington
7.1 mi
Multi-Specialty
320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1396810701 (206) 448-6561

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

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.

PATSY C LAZAROUS MD
Internal Medicine
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
SALMA F GHARIB M.D.
Emergency Medicine (Emergency Medical Services)
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
PAULA J LINS P.A.-C
Physician Assistant
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
SARAH PROCKO CNM
Advanced Practice Midwife
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
BENNET M. WANG M.D.
Internal Medicine (Pulmonary Disease)
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
CARA PRANGE PT
Physical Therapist
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (800) 995-5658
DR. BRYN MCKINNON SMITH MD
Obstetrics & Gynecology
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
MR. GARRETT MATTHEW KOSLAN CNM
Advanced Practice Midwife
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000

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 Timothy Riley's NPI number?

The NPI number for Timothy Riley is 1093994006. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Where is Timothy Riley located?

Timothy Riley practices at 11511 NE 10th St, Bellevue, WA 98004. The listed phone number is (425) 502-3000.

What is Timothy Riley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Timothy Riley enrolled in Medicare?

Yes. Timothy Riley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Riley reassigns Medicare benefits to 2 organizations: Lake Washington Anesthesia PLLC (Kirkland, WA) and Kaiser Foundation Health Plan Of Washington (Seattle, WA). 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 Timothy Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Riley was last updated on June 7, 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.