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MICHAEL T REILLY MD PA
NPI 1992058358
Family Medicine in St Petersburg, FL

Active since October 23, 2012
1201 5TH AVE N, SUITE 401, ST PETERSBURG, FL 33705(727) 821-1132(727) 822-2977 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael T Reilly Md Pa NPPES

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

MICHAEL T REILLY MD PA (NPI 1992058358) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since October 2012. The organization lists Michael T Reilly, President, as its authorized official.

NPPES Registry Identity

NPI1992058358
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHAEL T REILLY MD PA
Location Address1201 5TH AVE N, SUITE 401St Petersburg, FL 33705-1400
Mailing Address1201 5th Ave N, Suite 401St Petersburg, FL 33705-1400 · (727) 821-1132 · Fax (727) 822-2977
Phone(727) 821-1132
Fax(727) 822-2977
Organization SubpartNo
Authorized OfficialMichael T ReillyPresident · (727) 821-1132
Enumeration DateOctober 23, 2012
Last NPPES UpdateNovember 20, 2012
✔ NPI 1992058358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME32973
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1201 5TH AVE N, St Petersburg, FL 33705
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Other Identifiers 2

Medicaid045627600FL
Medicare UPIN065308FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael T Reilly Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael T Reilly MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Reilly, M.D.
Family Practice
NPI 1770534240
1201 5TH AVE NORTH SUITE 401
St Petersburg, FL 33705
(727) 821-1132
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael T Reilly MD PA's NPI number?

The NPI number for Michael T Reilly MD PA is 1992058358. It was assigned to this organization in the NPPES registry on October 23, 2012.

Where is Michael T Reilly MD PA located?

Michael T Reilly MD PA is located at 1201 5th Ave N Suite 401, St Petersburg, FL 33705. The listed phone number is (727) 821-1132.

What is Michael T Reilly MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael T Reilly MD PA enrolled in Medicare?

Yes. Michael T Reilly MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael T Reilly MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Michael T Reilly MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael T Reilly MD PA was last updated on November 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.