Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649408725 Individual Practitioner Male Practitioner

Dr. Jeffrey Riese , MD

Pediatrics • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Riese, MD is a registered healthcare professional specializing in Pediatrics in Providence, RI. Practice services are available at 593 EDDY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4014447396
Fax 4014447502
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
165 Specialists

Practicing in Providence, RI (340 Statewide)

Telehealth Adoption Rate
0.6% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License RI MD13981

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
MD13981 (RI)

Practice Associates & Co-Workers

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

16 Associated Practitioners
Kristina Petrucci , PA-C

Physician Assistant

NPI 1134740681

Physician Assistant (Certified)

Anne Smith , PA-C

Physician Assistant

NPI 1164247185

Physician Assistant (Certified)

NPI 1245443845

Doctor of Medicine (M.D.)

Hadley Tate , PA-C

Physician Assistant

NPI 1255027272

Physician Assistant (Certified)

NPI 1356577001

Doctor of Medicine (M.D.)

Valerie Kiers , CPNP, RN

Nurse Practitioner

NPI 1538712997

Certified Pediatric Nurse Practitioner, Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2013

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014447396)

📍
Updated Business Mailing Address March 26, 2013

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014447396)

👤
Provider Name / Credentials Updated March 26, 2013

Recorded as JEFFREY RIESE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2013

Pediatrics (License #MD13981 in RI)

🟢
Initial NPI Registration & Enumeration June 26, 2009

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: 1649408725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2009
Last Update: March 26, 2013
Sole Proprietor: No

Mailing Address

593 Eddy St

Providence, RI 029034923

Phone: 4014447396

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.