Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215396072 Individual Practitioner Female Practitioner

Dr. Kelly L. Riegleman , MD

Dermatology • Wright Patterson Afb, OH

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Riegleman, MD is a registered healthcare professional specializing in Dermatology in Wright Patterson Afb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9372571574
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1407842347

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Wright Patterson Afb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Wright Patterson Afb, OH (528 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2024-07-25
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NE 30231

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

General Practice

NUCC Taxonomy Code: 208D00000X

State License NE 30231

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Alexis Owen

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1003742263
NPI 1356332142

Doctor of Osteopathic Medicine (D.O.)

NPI 1366414591

Doctor of Medicine (M.D.)

Richard Himes , PA

Physician Assistant

NPI 1548760168

Physician Assistant

NPI 1588019707

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location July 25, 2024

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372571574)

📍
Updated Business Mailing Address July 25, 2024

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372571574)

📍
Updated Practice Location January 10, 2022

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102923376)

📍
Updated Business Mailing Address January 10, 2022

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102923376)

📍
Updated Practice Location September 03, 2019

Registered at 221 3RD ST W, RANDOLPH AFB, TX 781504800 (Tel: 2106524267)

📍
Updated Business Mailing Address September 03, 2019

Registered at 221 3RD ST W, JBSA RANDOLPH, TX 781504800 (Tel: 2106524267)

📍
Updated Business Mailing Address April 26, 2018

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302 (Tel: 8508853037)

NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2017

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: (850) 883-8600)

📍
Updated Business Mailing Address August 07, 2017

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: (850) 883-8600)

👤
Provider Name / Credentials Updated August 07, 2017

Recorded as KELLY RIEGLEMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

General Practice (License #30231 in NE)

NPI Profile Active July 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2016

Registered at 2200 BERGQUIST DR STE 1, JBSA LACKLAND AFB, TX 782365300 (Tel: 2102200549)

📍
Updated Business Mailing Address July 31, 2016

Registered at 2200 BERGQUIST DR STE 1, JBSA LACKLAND AFB, TX 782365300 (Tel: 2102200549)

👤
Provider Name / Credentials Updated July 31, 2016

Recorded as KELLY LAURENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215396072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2016
Last Update: July 25, 2024
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Phone: 9372571574

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.