Shannon Riley
NPI 1174349351ActiveIndividual· Physician Assistant· Boston, MA
Physician Assistant in Boston, Massachusetts, trained at Tufts University School of Medicine (class of 2026). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1174349351 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 3, 2024 |
| Last updated in NPPES | Apr 7, 2026 |
| Certified by provider | Apr 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA102581 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA) |
|---|
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 2026 |
| Medicare specialty | Physician Assistant |
Medical group
- George H. Theodore MD PCBoston, MA · 3 clinicians
Hospital affiliation
- Massachusetts General HospitalBoston, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 1,698 physician assistants in Boston · All physician assistants in Massachusetts