JOEL RILEY M.D.
NPI 1164440301
Internal Medicine - Gastroenterology in Saint Louis, MO

Q: What is Joel Riley's NPI number?

The NPI number for Joel Riley is 1164440301. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Joel Riley'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 Joel Riley was last updated on October 26, 2020. 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 July 17, 2006PECOS EnrolledAccepts Medicare Assignment

6400 CLAYTON RD, SUITE 216, SAINT LOUIS, MO 63117(314) 951-5368(314) 951-5238 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Joel Riley M.d. NPPES

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

JOEL RILEY M.D. (NPI 1164440301) is an individual gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (MDR7G19) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Meharry Medical College School Of Medicine (1986).

NPPES Registry Identity

NPI1164440301

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJOEL RILEYCredential: M.D.

Location Address6400 CLAYTON RD, SUITE 216Saint Louis, MO 63117-1850

Mailing AddressPo Box 955534Saint Louis, MO 63195-5534

Phone(314) 951-5368

Fax(314) 951-5238

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 1986

Enumeration DateJuly 17, 2006

Last NPPES UpdateOctober 26, 2020

NPPES CertifiedOctober 26, 2020

✔ NPI 1164440301 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 MO · MDR7G19

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.

6400 CLAYTON RD, Saint Louis, MO 63117

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Other Identifiers 1

Medicaid202754933MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Joel Riley M.d. 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 ID9133292618

PECOS Enrollment IDI20080716000420

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 12

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

135 services135 patients

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.

117 services84 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

114 services51 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

91 services89 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.

52 services52 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.

39 services39 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services28 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

28 services21 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

20 services20 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

17 services16 patients

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.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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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.

DR. ALLEN M JACOBS DPM

Podiatrist (Foot & Ankle Surgery)

6400 CLAYTON RD, STE 402
SAINT LOUIS, MO 63117

St. Louis County (314) 367-6545

DR. PIOTR KULIKOWSKI MD

Internal Medicine

6400 CLAYTON RD, STE 303
SAINT LOUIS, MO 63117

St. Louis County (314) 647-6666

UMAR DAUD MD

Internal Medicine (Rheumatology)

6400 CLAYTON RD, SUITE 110
SAINT LOUIS, MO 63117

St. Louis County (314) 645-4434

JIANMEI LIU M.D.

Internal Medicine

6400 CLAYTON RD, SUITE 401
SAINT LOUIS, MO 63117

St. Louis County (314) 644-6500

DR. EDWARD W. HEIDBRIER MD PC

Internal Medicine (Geriatric Medicine)

6400 CLAYTON RD, STE 107
SAINT LOUIS, MO 63117

St. Louis County (314) 645-2810

CLAYTON SLEEP INSTITUTE, LLC

Clinic/Center

6400 CLAYTON RD, STE 303
SAINT LOUIS, MO 63117

St. Louis County (314) 645-5855

AHMAD CARDIOLOGY INC

Internal Medicine (Cardiovascular Disease)

6400 CLAYTON RD, SUITE 316
RICHMOND HEIGHTS, MO 63117

St. Louis County (314) 644-2333

DR. ALLEN M. JACOBS & ASSOCIATES LTD., PC

Podiatrist (Foot & Ankle Surgery)

6400 CLAYTON RD, STE 402
SAINT LOUIS, MO 63117

St. Louis County (314) 367-6545

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 Joel Riley's NPI number?

The NPI number for Joel Riley is 1164440301. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Joel Riley located?

Joel Riley practices at 6400 Clayton Rd Suite 216, Saint Louis, MO 63117. The listed phone number is (314) 951-5368.

What is Joel Riley's specialty?

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

Is Joel Riley enrolled in Medicare?

Yes. Joel 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 Joel Riley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Joel 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 Joel Riley affiliated with any hospitals?

According to CMS data, Joel Riley is affiliated with Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Joel Riley was last updated on October 26, 2020. 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.