RANDALL R RILEY (M.D.) – Internal Medicine Physician, NPI 1558355032

RANDALL R RILEY (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01044173A (IN). The NPI Number for RANDALL R RILEY (M.D.) is 1558355032

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL R RILEY (M.D.)
NPI
1558355032
Phone
(317) 338-2345
Address
2001 W 86TH ST
Enumeration Date
9 September 2005
Last Update Date
2 August 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3175833444
Graduation Year
1994 (32 years ago)
PAC ID
0244219103
Group Practice PAC ID
1153493341
Professional Enrollment ID
I20040817001437
Address ID
IN477140541EV3700XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,517 INTERNAL MEDICINE in IN

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Provider Addresses for RANDALL R RILEY (M.D.)

  • Saint Vincent Indianapolis, 2001, West 86th Street, Indianapolis, Marion County, Indiana, 46260, United States

    INDIANAPOLIS, IN 462601902

    Phone: (317) 338-2345

    Type: Location

  • 304 Turner McCall Blvd SW

    Rome, GA 301655621

    Phone: (706) 509-5000

    Type: Location

  • 2525 DeSales Ave

    Chattanooga, TN 374041161

    Phone: (423) 495-2525

    Type: Location

  • 3700 WASHINGTON AVE

    EVANSVILLE, IN 477140541

    Phone: (317) 872-6287

    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: 2025-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040817001437IInternal MedicineINTBD
I20220428002331IInternal MedicineGATBD
I20250514002933IInternal MedicineTNTBD

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 46260)

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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: 1153493341View full group profile
NameSpecialtyState
-IN
-ME
O B S T E T R I C S/ G Y N E C O L O G YME
Family PracticeME
-ME
P O D I A T R YME
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
Nurse PractitionerIN
-ME
Physician AssistantTN

Reviews

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Frequently asked questions

What is the standard ID for RANDALL R RILEY (M.D.) in the U.S.?
In the U.S., RANDALL R RILEY (M.D.) is identified by NPI 1558355032.
Should I treat RANDALL R RILEY (M.D.) as an active provider?
Patients and plans typically see RANDALL R RILEY (M.D.) as active in the national extract.
Which specialty label fits RANDALL R RILEY (M.D.)?
NPPES ties RANDALL R RILEY (M.D.) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RANDALL R RILEY (M.D.)?
RANDALL R RILEY (M.D.) is associated with Indianapolis, Indiana in the same public data insurers reference.
Why is information missing for RANDALL R RILEY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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