DR. RAQUEL LEE KILEY MD, MS
NPI 1417651720
Student in an Organized Health Care Education/Training Program in Austin, TX

Q: What is Raquel Kiley's NPI number?

The NPI number for Raquel Kiley is 1417651720. It was assigned to this individual provider in the NPPES registry on March 29, 2023. The provider is also known as Raquel Lee Bruinsma MD, Ms.

Q: What is Raquel Kiley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raquel Kiley was last updated on June 12, 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 March 29, 2023PECOS Enrolled

1501 RED RIVER ST FL 2, AUSTIN, TX 78712(512) 495-5555 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2024, Mar 29, 2023 (2 updates tracked since 2023).

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About Dr. Raquel Lee Kiley Md, Ms NPPES

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

DR. RAQUEL LEE KILEY MD, MS (NPI 1417651720) is an individual student in an organized health care education/training program in Austin, Texas, licensed in Texas (BP10090175) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417651720

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. RAQUEL LEE KILEYCredential: MD, MS

Location Address1501 RED RIVER ST FL 2Austin, TX 78712-1845

Mailing Address1501 Red River St Fl 2Austin, TX 78712-1845 · (512) 495-5555

Phone(512) 495-5555

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateJune 12, 20242 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1417651720 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

License✔ Licensed in TX · BP10090175

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.

1501 RED RIVER ST FL 2, Austin, TX 78712

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Other Names 1

Former Name (1)Raquel Lee Bruinsma Md, Ms

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raquel Lee Kiley Md, Ms 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.

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. KEVIN ANDERSON MD

Family Medicine