# KENNETH J RIEGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275559700
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 25MA08296300 | NJ | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | 25MA08579500 | NJ | — |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 02/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000485768 | ANTHEM | KY |
| 01 | — | 000000495770 | ANTHEM (UNIV ORTHO ASSOC) | KY |
| 01 | — | 01062330A | PHYS.LICENSE | IN |
| 01 | — | 01062330B | CSR | IN |
| 05 | — | 200828910 | — | IN |
| 01 | — | 25MA08296300 | LICENSE | NJ |
| 01 | — | 2785649000 | PASSPORT ADVANTAGE | KY |
| 01 | — | 2785663000 | PASSPORT ADVANTAGE (UOA) | KY |
| 01 | — | 40285 | PHYSICIAN LICENSE | KY |
| 01 | — | 50012858 | PASSPORT (SPINE INSTITUTE | KY |
| 01 | — | 50012859 | PASSPORT (UNIV ORTHO ASSO | KY |
| 05 | — | 64125370 | — | KY |
| 01 | — | BR9641172 | DEA | IN |
| 01 | — | BR9816717 | DEA | KY |
| 01 | — | P00384745 | RAILROAD MEDICARE | KY |