MAX SEBASTIAN RILEY
NPI 1992293401
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 30, 2018PECOS Enrolled

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Max Sebastian Riley NPPES

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

MAX SEBASTIAN RILEY (NPI 1992293401) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992293401
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAX SEBASTIAN RILEY
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address5577 Lindell BlvdSaint Louis, MO 63112-1015
Sole ProprietorYes
Enumeration DateApril 30, 2018
NPI 1992293401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
55 FRUIT ST, Boston, MA 02114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Max Sebastian Riley 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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Max Riley's NPI number?

The NPI number for Max Riley is 1992293401. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Max Riley located?

Max Riley practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2803.

What is Max 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 Max Riley enrolled in Medicare?

Yes. Max Riley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Max Riley was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.