JAMES RIELLY NPI 1386638005

NPI Information

  • NPI: 1386638005
  • Provider Name: JAMES RIELLY
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 395 W COUGAR BLVD STE 503
    PROVO, UT
    ZIP 84604
  • Phone: (801) 374-9100

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NPI Details

James Rielly is a vascular surgery surgery in Provo, UT with 39 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. James Rielly NPI is 1386638005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

395 W COUGAR BLVD STE 503
PROVO, UT
ZIP 84604-323
Phone: (801) 374-9100
Fax: (801) 374-9117

The NPI 1386638005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 9/8/2005 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery249582NEW YORKNo
22086S0129XSurgeryVascular SurgeryMD469103PENNSYLVANIANo
32086S0129XSurgeryVascular Surgery83219SOUTH CAROLINANo
42086S0129XSurgeryVascular Surgery11889299-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1832193MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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