Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James Rielly

Individual provider Surgery Physician · NPI 1386638005

James Rielly is a Vascular Surgery in Provo, Utah. Graduated from Boston University School of Medicine in 1987, 39 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York, Pennsylvania, South Carolina and Utah.

Years since qualifying
39
Trained at
Boston University School of Medicine
Licensed in
NY, PA, SC, UT
In the registry since
2005
Specialties on file
4
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Practice location Address checks out

395 W Cougar Blvd Ste 503
Provo, UT 84604-3323
Phone: (801) 374-9100
Fax: (801) 374-9117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1002 Lindbergh Dr Ne, Atlanta, GA 30324-3721 — (770) 628-2855
  • 115 Heart Dr, Greenville, NC 27834-8982 — (252) 744-4400
  • 1703 Innovation Dr Ste 4120, York, PA 17408-8815 — (717) 849-5576
  • 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203-6862 — (803) 434-7100

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 11889299-1205 (UT)
Surgery Physician Taxonomy 208600000X · Licence 249582 (NY)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence MD469103 (PA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 83219 (SC)

Record details

NPI number1386638005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Provo