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DALTON RILEY MD
NPI 1114711884
Student in an Organized Health Care Education/Training Program in Madisonville, KY

Active since April 08, 2025PECOS Enrolled
900 HOSPITAL DR, MADISONVILLE, KY 42431(270) 825-5100 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dalton Riley Md NPPES

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

DALTON RILEY MD (NPI 1114711884) is an individual student in an organized health care education/training program in Madisonville, Kentucky and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114711884
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDALTON RILEYCredential: MD
Location Address900 HOSPITAL DRMadisonville, KY 42431-1644
Mailing Address900 Hospital DrMadisonville, KY 42431-1644 · (270) 825-5100
Phone(270) 825-5100
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1114711884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 HOSPITAL DR, Madisonville, KY 42431
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dalton Riley 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.

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.

CADE CUNNINGHAM
Pharmacist
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5250
BRIAN CORDELL GIBBS JR. CRNA
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (785) 717-9504
MICHAEL DAVID CRIDER CRNA
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5100
REGINA ANN HUNTER CSA
Specialist/Technologist, Other (Surgical Assistant)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5100
STACEY LEIGH MCGREGOR CSA
Specialist/Technologist, Other (Surgical Assistant)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5100
ASHLEIGH DENA HICKERSON APRN
Nurse Practitioner (Acute Care)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 875-3502
DEVALKUMAR JITENDRABHAI RAJYAGURU M.D.
Internal Medicine (Hematology & Oncology)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5800
TRAVIS LAFFOON CRNA
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-3682

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 Dalton Riley's NPI number?

The NPI number for Dalton Riley is 1114711884. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Dalton Riley located?

Dalton Riley practices at 900 Hospital Dr, Madisonville, KY 42431. The listed phone number is (270) 825-5100.

What is Dalton Riley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dalton Riley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dalton Riley was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.