Individual provider Active NPI

Riaz Rahman, M.D.

  • Geriatric Psychiatry Physician
  • Stafford, TX
National Provider Identifier
1275630717
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
K5186 Issued in TX
Practice address
11104 W Airport Blvd Ste 138
Stafford, TX 77477-3074
Phone
(713) 984-4546
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME72252 FL
Geriatric Psychiatry Physician 2084P0805X K5186 TX Primary
Geriatric Psychiatry Physician 2084P0805X ME72252 FL
Internal Medicine Physician 207R00000X ME72252 FL

Addresses

Primary practice location

11104 W Airport Blvd Ste 138
Stafford, TX 77477-3074

Mailing address

646 Hills Blvd
Port Orange, FL 32127-2902

Other practice location 1

575 N Clyde Morris Blvd Ste A
Daytona Beach, FL 32114-2318
Phone (321) 355-7377

Other identifiers 4

IdentifierTypeStateIssuer
K3055OtherFLPTAN
252738300MedicaidFL
42316OtherFLBS OF FLORIDA
ME72252OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, IN, IL, CO, KS, LA, MO, IA, AK, VA, OH12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20040511000362 FL Practitioner - PsychiatryPractitioner - Internal Medicine 8729077235 Reassigns benefits to 1 organization
I20160917000079 TX Practitioner - PsychiatryPractitioner - Internal MedicinePractitioner - Neurology 8729077235 Reassigns benefits to 4 organizations
I20181009002677 IN Practitioner - Geriatric Psychiatry 8729077235 Reassigns benefits to 1 organization
I20190923001464 IL Practitioner - Psychiatry 8729077235 Reassigns benefits to 1 organization
I20200616002229 CO Practitioner - Psychiatry 8729077235 Reassigns benefits to 1 organization
I20201130000323 KS Practitioner - Psychiatry 8729077235 Reassigns benefits to 1 organization
I20210114000163 LA Practitioner - PsychiatryPractitioner - Internal Medicine 8729077235 Reassigns benefits to 1 organization
I20220926001234 MO Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 8729077235 Reassigns benefits to 1 organization
I20230224001172 IA Practitioner - Psychiatry 8729077235 Reassigns benefits to 1 organization
I20230309002407 AK Practitioner - Psychiatry 8729077235
I20230322002614 VA Practitioner - Psychiatry 8729077235 Reassigns benefits to 1 organization
I20241114003640 OH Practitioner - PsychiatryPractitioner - Internal Medicine 8729077235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2439 Manhattan Blvd
Suite 102 1
Harvey, LA 70058-5473
Phone (321) 443-9924

4103 S Main St
Stafford, TX 77477-5305
Phone (713) 984-4546

575 N Clyde Morris Blvd
Suite a
Daytona Beach, FL 32114-2323
Phone (321) 355-7377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5186TXMDGeriatric Psychiatry Physician

Practice roles (16 of 17)

OrganizationSpecialtyStatusNew patients
Med Management of Kansas LLC Psychiatry CurrentSince Nov 2, 2020 Accepting new patients
Med Management Indiana PC Psychiatry CurrentSince Aug 24, 2018 Accepting new patients
Physician Care, Apmc Psychiatry CurrentSince Oct 14, 2020 Accepting new patients
Med Management Associates of Iowa PC Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Baptist Health Deaconess Medical Group Inc Internal Medicine Current Accepting new patients
Med Management Associates of Colorado LLC Psychiatry CurrentSince Mar 1, 2023 Accepting new patients
Cye Ga LLC CurrentSince Feb 1, 2019 Accepting new patients
Texana Center CurrentSince Oct 12, 2016 Accepting new patients
JRS Mart Inc CurrentSince Jun 16, 2017 Accepting new patients
Med Management Associates Psychiatry CurrentSince Feb 2, 2018 Accepting new patients
Med MGT Associates of Virginia LLC Psychiatry CurrentSince Mar 1, 2023 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine Past Accepting new patients
Valescere Spring Branch PastSince Oct 25, 2020 Accepting new patients
CV Operating Co., LLC. Past Accepting new patients
Attain BH Toledo LLC Past Accepting new patients
Tmo Medical and Rehab PastSince Feb 1, 2019 Accepting new patients

Locations

290 S Monaco Street Pkwy
Denver, CO 80224
Phone (303) 355-2525

1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639

3701 Washington Ave
Evansville, IN 47714
Phone (812) 476-3360

520 E Morse Ave
Bonner Springs, KS 66012
Phone (913) 441-2515

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

2439 Manhattan Blvd
Ste 102-1
Harvey, LA 70058
Phone (321) 443-9924

600 NW Pryor Rd
Lees Summit, MO 64081
Phone (816) 251-8000

5200 Marymount Village Dr
Garfield Heights, OH 44125
Phone (216) 332-1070

2626 S Loop W
Ste 435
Houston, TX 77054
Phone (281) 936-0047

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

1601 Broad Rock Blvd
Richmond, VA 23224
Phone (540) 982-2860

Networks

  • Freedom Health HMO Network

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1275630717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 HILLS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 138",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773074",
            "telephone_number": "713-984-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 N Clyde Morris Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142318",
            "country_code": "US",
            "telephone_number": "321-355-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "RIAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME72252",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "K5186",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME72252",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72252",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K3055",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252738300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF FLORIDA",
            "identifier": "42316",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME72252",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.