MARK A REILEY MD NPI 1578595468

NPI Information

  • NPI: 1578595468
  • Provider Name: MARK A REILEY, MD
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Individual
  • Address: 3010 COLBY ST
    118
    BERKELEY, CA
    ZIP 94705
  • Phone: (510) 845-3856

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NPI Details

Mark A Reiley, MD is a foot and ankle surgery orthopaedic surgery in Berkeley, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. Mark A Reiley, MD NPI is 1578595468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3010 COLBY ST
118
BERKELEY, CA
ZIP 94705-059
Phone: (510) 845-3856
Fax: (510) 845-1936

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/11/2025.

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
1207X00000XOrthopaedic SurgeryG43696CALIFORNIANo
2207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryG43696CALIFORNIAYes

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
100G436960MEDICAIDCALIFORNIA
200G436960OTHERCALIFORNIABLUE SHIELD
3G43696OTHERCALIFORNIASTATE LICENSE
4G43696OTHERCALIFORNIABLUE CROSS

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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