Timothy Reilly
NPI 1679058754 · Physician Assistant · Saint Louis, MO
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Reilly is a Physician Assistant provider in Saint Louis, MO (NPI 1679058754).
Provider details
- NPI number
- 1679058754
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 022615 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-09-25
- Last updated
- 2023-01-18
- Certified
- 2023-01-18
Frequently asked questions
- What is Timothy Reilly's NPI number?
- Timothy Reilly's National Provider Identifier (NPI) is 1679058754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Reilly's specialty?
- Timothy Reilly is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Timothy Reilly located?
- Timothy Reilly's practice location on file with NPPES is 10010 Kennerly Rd, Saint Louis, MO 63128-2106.
- What is Timothy Reilly's phone number?
- The practice phone number listed in the NPPES registry for Timothy Reilly is (314) 525-1328.
- Does Timothy Reilly accept Medicare?
- Timothy Reilly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Reilly's NPI active?
- Yes — Timothy Reilly's NPI (1679058754) is active in the NPPES registry as of the last update on 2023-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.