JAMES RIELLY
NPI 1386638005
Surgery - Vascular Surgery in Provo, UT

Q: What is James Rielly's NPI number?

The NPI number for James Rielly is 1386638005. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is James Rielly's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for James Rielly was last updated on March 14, 2024. 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 September 08, 2005PECOS EnrolledAccepts Medicare Assignment

395 W COUGAR BLVD STE 503, PROVO, UT 84604(801) 374-9100(801) 374-9117 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Apr 10, 2023, Feb 7, 2023 and 7 more (10 updates tracked since 2018).

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About James Rielly NPPES

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

JAMES RIELLY (NPI 1386638005) is an individual vascular surgery provider in Provo, Utah, licensed in Utah (11889299-1205) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Boston University School Of Medicine (1987).

NPPES Registry Identity

NPI1386638005

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameJAMES RIELLY

Location Address395 W COUGAR BLVD STE 503Provo, UT 84604-3323

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 374-9100

Fax(801) 374-9117

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1987

Enumeration DateSeptember 8, 2005

Last NPPES UpdateMarch 14, 202410 updates tracked since enumeration

NPPES CertifiedMarch 14, 2024

✔ NPI 1386638005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in UT · 11889299-1205✔ Licensed in PA · MD469103✔ Licensed in SC · 83219

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 249582 (NY)

395 W COUGAR BLVD STE 503, Provo, UT 84604

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Secondary Practice Locations 4

Location 11002 Lindbergh Dr NE, Suite 2001Atlanta, GA 30324-3721 · Phone (770) 628-2855

Location 2115 Heart DrGreenville, NC 27834-8982 · Phone (252) 744-4400 · Fax (252) 744-3987

Location 33 Richland Medical Park Dr Ste 330Columbia, SC 29203-6862 · Phone (803) 434-7100 · Fax (803) 434-6889

Location 41703 Innovation Dr Ste 4120York, PA 17408-8815 · Phone (717) 849-5576

Other Identifiers 1

Medicaid832193SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

James Rielly 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 ID3577564228

PECOS Enrollment IDI20201130002980, I20221118000220

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES SCOTT ARREGUI PA-C

Physician Assistant