MARK A REILEY MD NPI 1578595468

NPI Information

  • NPI: 1578595468
  • Provider Name: MARK A REILEY, MD
  • Classification: Orthopaedic Surgery - 207X00000X
  • 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 an orthopaedic surgery in Berkeley, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. 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 7/8/2007.

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 SurgeryG43696CALIFORNIAYes
2207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryG43696CALIFORNIAX

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
100G436960OTHERCALIFORNIABLUE SHIELD
2G43696OTHERCALIFORNIABLUE CROSS
300G436960MEDICAIDCALIFORNIA
4G43696OTHERCALIFORNIASTATE LICENSE
5A49433MEDICARE UPINCALIFORNIA

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: 3/30/2025

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