Marvin Gerald Riske, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21421 Issued in AZ

Practice address

600 S Dobson Rd Ste D27
Chandler, AZ 85224-5691

Phone

(804) 960-0000

Fax

(480) 496-7325

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
• Direct secure messaging: mriske19063@mydrnow.gardenplot.direct-ci.com

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.

• Good Health Medical, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1144764432
  Medicare reassignment NPD
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1023828431
  NPD
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1740545375
  NPD
• 4C Medical Group PLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1558654384

  Family Medicine

  NPD (past)
• Good Health Medical, PLLC

  • Family Medicine Physician
  • San Tan Valley, AZ
  • NPI 1063573079
  NPD (past)
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Buckeye, AZ
  • NPI 1639835515
  NPD (past)
• Livn, P.C.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1245759307
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1295827871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584583",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE D27",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245691",
            "telephone_number": "804-960-0000",
            "fax_number": "480-496-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 S Gilbert Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852962261",
            "country_code": "US",
            "telephone_number": "480-677-8282",
            "fax_number": "480-353-0962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISKE",
        "first_name": "MARVIN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "21421",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "21421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194902",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z211816",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Rios
• John Ripley, OD
• Ripples in the Water Counseling LLC
• Rise Diagnostics LLC
• Radha Gandhi Rishi, M.D.
• Sonya U Riske
• Richard Risueno Jr., M.S. CF-SLP
• Hannah Ritchie
• Patricia E Ritchie
• Rite Way Express Medical Trans

• Internal Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.