Individual provider Active NPI

Zain Hasan Rizvi, D.P.M.

  • Podiatrist
  • Buffalo, NY
National Provider Identifier
1285021980
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
390200000 Issued in NY
Practice address
2157 Main St
Buffalo, NY 14214-2648
Phone
(716) 862-1475
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 390200000 NY Primary

Addresses

Primary practice location

2157 Main St
Buffalo, NY 14214-2648

Mailing address

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724000591 IL Practitioner - Podiatry 9234486192 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Breck Tiernan PCGroup PAC ID 6901961465, 3 clinicians

Practice addresses (Care Compare)

350 Houbolt Rd
Suite 104
Joliet, IL 60431-8305
Phone (815) 553-0990

3675 Darlene CT
Suite B
Aurora, IL 60504-6523
Phone (630) 415-0056

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as group
Quality
20
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.62 of 100Reported as group
Quality
64.25
Promoting interoperability
95
Improvement activities
40
Cost
41.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue46
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
390200000NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
MD @ Home Illinois, SC CurrentSince Mar 11, 2021 Accepting new patients
Breck Tiernan PC Podiatrist CurrentSince Jul 29, 2020 Accepting new patients
Rizvi Tiernan Podiatry PC Podiatrist CurrentSince Apr 1, 2022 Accepting new patients
Heartland Foot & Ankle Associates PC Podiatrist CurrentSince Aug 16, 2018 Accepting new patients
Andersontiernan, Inc Past Accepting new patients

Locations

3675 Darlene Ct
Ste B
Aurora, IL 60504
Phone (630) 415-0056

10 Heartland Dr
Ste B
Bloomington, IL 61704
Phone (309) 585-0523

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

350 Houbolt Rd
Ste 104
Joliet, IL 60431
Phone (815) 553-0990

10751 W 143rd St
Orland Park, IL 60462
Phone (708) 460-4162

Interoperability endpoints

  • Direct secure messaging: zain.rizvi.1@3342.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1285021980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-862-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-862-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "ZAIN",
        "middle_name": "HASAN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "390200000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.