JOSEPH RILEY M.D.
NPI 1235572165
Physical Medicine & Rehabilitation in Sandusky, OH
About Joseph Riley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH RILEY M.D. (NPI 1235572165) is an individual physical medicine & rehabilitation provider in Sandusky, Ohio, licensed in Ohio (35130974) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Joseph 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.
Medicare Billing Reassignment
Medicare enrollment records show Joseph Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sandusky, OH 44870
- Reassigned Medicare billing, Ohio enrollment
- 182 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Firelands Regional Medical Center
Acute Care Hospitals · Sandusky, OHFisher-Titus Hospital
Acute Care Hospitals · Norwalk, OHMagruder Hospital
Critical Access Hospitals · Port Clinton, OHMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 20
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Joseph Riley's NPI number?
The NPI number for Joseph Riley is 1235572165. It was assigned to this individual provider in the NPPES registry on April 10, 2013.
Where is Joseph Riley located?
Joseph Riley practices at 703 Tyler St Ste 352, Sandusky, OH 44870. The listed phone number is (419) 557-6785.
What is Joseph Riley's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Joseph Riley enrolled in Medicare?
Yes. Joseph 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.
Which organization bills Medicare for Joseph Riley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Riley reassigns Medicare benefits to North Coast Professional Company, LLC (Sandusky, OH). The 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 Joseph Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joseph Riley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Joseph 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 Joseph Riley affiliated with any hospitals?
According to CMS data, Joseph Riley is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital and Magruder Hospital.
When was this NPI record last updated?
The NPPES record for Joseph Riley was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.