CRUZ DYLAN MONTGOMERY RILEY
NPI 1467075184
Student in an Organized Health Care Education/Training Program in Saint Louis, MO
About Cruz Dylan Montgomery Riley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRUZ DYLAN MONTGOMERY RILEY (NPI 1467075184) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pasadena.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cruz Dylan Montgomery Riley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
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 Cruz Riley's NPI number?
The NPI number for Cruz Riley is 1467075184. It was assigned to this individual provider in the NPPES registry on May 28, 2020.
Where is Cruz Riley located?
Cruz Riley practices at 3015 N Ballas Rd, Saint Louis, MO 63131. The listed phone number is (314) 837-7470.
What is Cruz Riley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Cruz Riley enrolled in Medicare?
Yes. Cruz Riley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Cruz Riley was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Cruz Dylan Montgomery Riley · NPI 1467075184
Student in an Organized Health Care Education/Training Program provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 28, 2020.
## Identity
- **NPI:** 1467075184 (Entity type: Individual)
- **Enumerated:** May 28, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3015 N BALLAS RD, Saint Louis, MO 63131-2329
- **Phone:** (314) 837-7470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 1, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1467075184) · Data from the CMS NPPES public registry.