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Deactivated NPI 1104820166 Deactivated / Inactive NPI Male Practitioner

Dr. Robert J Reilly , MD

Specialist • Tucson, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Reilly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2005
NPI Deactivation Date September 20, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Reilly, MD was a registered Specialist practicing in Tucson, AZ. Throughout an active medical career spanning 13 years, Dr. Reilly provided care at the practice location at 6325 E TANQUE VERDE RD until profile deactivation on 2018-09-20.

Practice Location & Contact Primary Location

Practice Address

6325 E Tanque Verde Rd

Tucson, AZ 857153808

Telephone 5205467137
Fax 5208857396

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.7 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
89 Specialists

Practicing in Tucson, AZ (826 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 4590

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1003818238

Doctor of Medicine (M.D.)

Samantha Meakin , PA-C

Physician Assistant

NPI 1336693555

Physician Assistant (Certified)

NPI 1659373892

Doctor of Medicine (M.D.)

NPI 1669738811

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1679575922

Doctor of Medicine (M.D.)

Tammi Bymers , NPA

Nurse Practitioner - Family

NPI 1790968204

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2018

Record deactivated on September 20, 2018

NPI Profile Active July 21, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2008

Registered at 6325 E TANQUE VERDE RD, TUCSON, AZ 857153808 (Tel: 5205467137)

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Updated Business Mailing Address July 21, 2008

Registered at 6325 E TANQUE VERDE RD, TUCSON, AZ 857153808 (Tel: 5205467137)

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Provider Name / Credentials Updated July 21, 2008

Recorded as ROBERT REILLY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2008

Specialist (License #4590 in AZ)

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Initial NPI Registration & Enumeration June 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104820166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2005
Last Update: July 21, 2008
Deactivation Date: September 20, 2018

Mailing Address

6325 E Tanque Verde Rd

Tucson, AZ 857153808

Phone: 5205467137

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.