DR. POORTI K RILEY MD
NPI 1154434074
Obstetrics & Gynecology - Gynecology in Ocala, FL

Q: What is Poorti Riley's NPI number?

The NPI number for Poorti Riley is 1154434074. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Poorti Riley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Poorti Riley was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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, 2006PECOS EnrolledAccepts Medicare Assignment

4600 SW 46TH COURT, SUITE 150, OCALA, FL 34474(352) 369-5999(352) 629-4227 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Poorti K Riley Md NPPES

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

DR. POORTI K RILEY MD (NPI 1154434074) is an individual gynecology provider in Ocala, Florida, licensed in Florida (ME72735) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Marion Communtiy Hospital, and is a graduate of University Of Florida College Of Medicine (1995).

NPPES Registry Identity

NPI1154434074

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameDR. POORTI K RILEYCredential: MD

Location Address4600 SW 46TH COURT, SUITE 150Ocala, FL 34474

Mailing Address4600 Sw 46th Court, Suite 150Ocala, FL 34474 · (352) 369-5999 · Fax (352) 629-4227

Phone(352) 369-5999

Fax(352) 629-4227

Sole ProprietorYes

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1995

Enumeration DateAugust 16, 2006

Last NPPES UpdateSeptember 19, 2023

✔ NPI 1154434074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in FL · ME72735

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedSpecialistTaxonomy 174400000X · License ME72735 (FL)

4600 SW 46TH COURT, Ocala, FL 34474

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Poorti K 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 ID9931272796

PECOS Enrollment IDI20080728000057

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.

Areas of Expertise CMS Part B claims 18

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 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.

591 services342 patients

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.

504 services296 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

278 services234 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

214 services214 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.

187 services187 patients

Exam of external female genitals using an endoscope 56820

This procedure involves utilizing a special tool called an endoscope to view the external areas typically covered by underwear. It helps doctors identify any abnormalities or issues, ensuring your health and well-being.

135 services100 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

125 services125 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

113 services75 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

104 services40 patients

Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558

This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.

72 services54 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

40 services38 patients

Exam and biopsy of external female genitals using an endoscope 56821

This procedure involves using a special instrument, called an endoscope, to view and take a small tissue sample from the external part of the female reproductive system. It's a vital tool for diagnosing certain conditions.

35 services33 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

29 services29 patients

Biopsy of lining of uterus 58100

A biopsy of the uterus lining is a medical procedure where a small sample of tissue is taken from the inner layer of your uterus. This is done to check for any abnormal cells or conditions. It's a common, quick process that helps in diagnosing various health issues.

24 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

21 services21 patients

Biopsy and scraping of cervix using an endoscope 57454

A biopsy and scraping of the cervix using an endoscope is a procedure where a small camera is used to view the cervix. A small sample of tissue is then gently removed and examined for any abnormalities. This is done to ensure your health and well-being.

18 services17 patients

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, more than 250.0 g 58573

This procedure involves the removal of specific internal parts via a small camera (endoscope) inserted through the abdomen. It's done to address various health conditions. The parts removed weigh more than 250.0 g. It's safe and minimally invasive.

14 services14 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100212

Location1431 SW 1st AveOcala, FL 34471 · Marion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34474 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Poorti Riley's NPI number?

The NPI number for Poorti Riley is 1154434074. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Poorti Riley located?

Poorti Riley practices at 4600 SW 46th Court Suite 150, Ocala, FL 34474. The listed phone number is (352) 369-5999.

What is Poorti Riley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Poorti Riley enrolled in Medicare?

Yes. Poorti 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.

What insurance does Poorti Riley accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Poorti 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 Poorti Riley affiliated with any hospitals?

According to CMS data, Poorti Riley is affiliated with Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Poorti Riley was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.