MATTHEW ALEXANDER RILEY – Anesthesiology Physician, NPI 1104407048

MATTHEW ALEXANDER RILEY is a healthcare provider. based in Burr ridge, Illinois. specializing in ANESTHESIOLOGY. They hold a License No. 125077885 (IL). The NPI Number for MATTHEW ALEXANDER RILEY is 1104407048

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW ALEXANDER RILEY
NPI
1104407048
Phone
(773) 702-1150
Address
180 HARVESTER DR STE 110
Enumeration Date
20 April 2021
Last Update Date
6 August 2021

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6305273000
Graduation Year
2021 (5 years ago)
PAC ID
3577964220
Group Practice PAC ID
6305747890
Professional Enrollment ID
I20260310004036
Address ID
IL605407430NA801XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for MATTHEW ALEXANDER RILEY

  • 180 HARVESTER DR STE 110

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (773) 702-6842

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260310004036IAnesthesiologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305747890View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
-IL
-IL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

What is the registry number for MATTHEW ALEXANDER RILEY?
The registry entry for MATTHEW ALEXANDER RILEY shows NPI 1104407048.
Is MATTHEW ALEXANDER RILEY currently accepting referrals based on NPI status?
Registry metadata lists MATTHEW ALEXANDER RILEY as active.
Which specialty label fits MATTHEW ALEXANDER RILEY?
NPPES ties MATTHEW ALEXANDER RILEY to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MATTHEW ALEXANDER RILEY?
MATTHEW ALEXANDER RILEY shows a connection to Burr Ridge, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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