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RILEY KYLE SPENCER D.O.
NPI 1144076415
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 27, 2024PECOS Enrolled
330 W TAM OSHANTER DR, PHOENIX, AZ 85023(480) 415-7224 Get Directions Write a Review

NPPES record last updated: April 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riley Kyle Spencer D.o. NPPES

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

RILEY KYLE SPENCER D.O. (NPI 1144076415) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144076415
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRILEY KYLE SPENCERCredential: D.O.
Location Address330 W TAM OSHANTER DRPhoenix, AZ 85023-6281
Mailing Address330 W Tam Oshanter DrPhoenix, AZ 85023-6281
Phone(480) 415-7224
Sole ProprietorNo
Enumeration DateApril 27, 2024
NPPES CertifiedApril 27, 2024
✔ NPI 1144076415 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.

330 W TAM OSHANTER DR, Phoenix, AZ 85023
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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)

Riley Kyle Spencer D.o. 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.

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 Riley Spencer's NPI number?

The NPI number for Riley Spencer is 1144076415. It was assigned to this individual provider in the NPPES registry on April 27, 2024.

Where is Riley Spencer located?

Riley Spencer practices at 330 W Tam Oshanter Dr, Phoenix, AZ 85023. The listed phone number is (480) 415-7224.

What is Riley Spencer's specialty?

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

Is Riley Spencer enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Riley Spencer was last updated on April 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.