TARA REILLY (D.O.) – Emergency Medicine Physician, NPI 1063628600

TARA REILLY (D.O.) is a healthcare provider. based in Hudson, Ohio. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 58001676 (OH). The NPI Number for TARA REILLY (D.O.) is 1063628600

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TARA REILLY (D.O.)
NPI
1063628600
Phone
Not provided
Address
7777 ALEXANDRA DR
Enumeration Date
14 May 2007
Last Update Date
9 September 2014

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
4407751211
Graduation Year
2004 (22 years ago)
PAC ID
7719015114
Group Practice PAC ID
9739554379
Professional Enrollment ID
I20100505000642
Address ID
OH440741026OB200XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for TARA REILLY (D.O.)

  • 7777, Alexandra Drive, Middleton Park Estates, Hudson, Summit County, Ohio, 44236, United States

    HUDSON, OH 442364523

    Phone:

    Mailing address matches the actual address.

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: 2010-05-05

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
I20100505000642IEmergency MedicineOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making6661$0
99285Emergency department visit with high level of medical decision making3834$0
99283Emergency department visit with low level of medical decision making1616$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1412$0
View full utilization report →

Insurance plans in this area (ZIP 44236)

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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: 9739554379View full group profile
NameSpecialtyState
Emergency Medicine, Pediatric MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Nurse PractitionerOH
Internal MedicineOH
Emergency MedicineNC
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the registry number for TARA REILLY (D.O.)?
The registry entry for TARA REILLY (D.O.) shows NPI 1063628600.
Quick check: is TARA REILLY (D.O.) active?
Public NPPES data shows TARA REILLY (D.O.) with an active NPI status right now.
What does the directory say TARA REILLY (D.O.) does?
Insurance directories may phrase it differently, but here TARA REILLY (D.O.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit TARA REILLY (D.O.) in Hudson, Ohio?
For routing, start with Hudson, Ohio for TARA REILLY (D.O.), then verify phone and hours locally.
Can I export TARA REILLY (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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