Active NPI
Ria Medical, LLC
- Internal Medicine Physician
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2007036351
- Legal business name
- RIA MEDICAL, LLC
- Practice address
- 105 Creekside Office Dr.
Wentzville, MO 63385 - Phone
- (636) 639-6262
- Fax
- (636) 639-1375
- NPI assigned
- Sep 29, 2006
- Last updated
- Oct 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Navin Choudhary, M.D.
- Title
- Owner
- Phone
- (636) 639-6262
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Internal Medicine Physician | 207R00000X | 2011002808 | MO | |
| Internal Medicine Physician | 207R00000X | 2007036351 | MO | Primary |
Addresses
Primary practice location
105 Creekside Office Dr.
Wentzville, MO 63385
Mailing address
105 Creekside Office Dr.
Wentzville, MO 63385
Phone (636) 639-6262
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437455441 | Medicaid | MO | |
| 204476907 | Medicaid | MO | |
| 204488805 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1035636 | Ria Medical LLC | Certificate of waiver | Jan 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
2002 Boardwalk Place Dr
O Fallon, MO 63368
Phone (386) 688-7988
1000 Landing Cir
Saint Charles, MO 63304
Phone (636) 669-0799
125 Klondike Xing
Saint Peters, MO 63376
Phone (636) 284-2597
1000 Warrenton Shoppes
Warrenton, MO 63383
1000 Warrenton Shoppes
Ste 31
Warrenton, MO 63383
Phone (636) 639-6262
118 S East St
Warrenton, MO 63383
Phone (636) 456-3340
600 Medical Dr
Ste 106
Wentzville, MO 63385
Phone (636) 327-1250
600 Medical Dr
Ste 216
Wentzville, MO 63385
Phone (636) 332-8482
65 Highway AA
Wright City, MO 63390
Phone (636) 456-3340
Interoperability endpoints
- https://api.platform.athenahealth.com/24426/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1104913896
-
- Adult Health Nurse Practitioner
- Wentzville, MO
- NPI 1043852775
-
- Nurse Practitioner
- Wentzville, MO
- NPI 1275960254
-
- Critical Care Medicine (Internal Medicine) Physician
- Saint Peters, MO
- NPI 1659457000
-
- Nurse Practitioner
- Wentzville, MO
- NPI 1730757139
-
- Nurse Practitioner
- Wentzville, MO
- NPI 1497954846
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1437455441
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1821263559
-
- Family Nurse Practitioner
- Wentzville, MO
- NPI 1093946527
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1508022401
-
- Internal Medicine Physician
- Wentzville, MO
- NPI 1447949268
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1306041108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414368000000",
"number": "1174615025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CREEKSIDE OFFICE DR.",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "63385",
"telephone_number": "636-639-6262",
"fax_number": "636-639-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CREEKSIDE OFFICE DR.",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "63385",
"telephone_number": "636-639-6262",
"fax_number": "636-639-1375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIA MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2014-10-27",
"status": "A",
"authorized_official_last_name": "CHOUDHARY",
"authorized_official_first_name": "NAVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-639-6262",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2011002808",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2007036351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437455441",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204476907",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204488805",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.