Individual provider Active NPI

Wayne Gerald Riskin, M.D.

  • Rheumatology Physician
  • Hollywood, FL
National Provider Identifier
1366536708
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME0024520 Issued in FL
Practice address
4700 Sheridan Street
Suite C
Hollywood, FL 33021
Phone
(954) 961-3252
Fax
(954) 964-6168
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME0024520 FL Primary

Addresses

Primary practice location

4700 Sheridan Street
Suite C
Hollywood, FL 33021

Mailing address

4700 Sheridan Street
Suite C
Hollywood, FL 33021
Phone (954) 961-3252

Other identifiers 1

IdentifierTypeStateIssuer
018369800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wayne.riskin.p1@direct.sfrheum.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100909000057 FL Practitioner - RheumatologyPractitioner - Internal Medicine 9335141811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Rheumatology, LLCGroup PAC ID 1658719216, 6 clinicians

Practice addresses (Care Compare)

4331 N Federal Hwy
Suite 300
Ft Lauderdale, FL 33308-5252
Phone (954) 237-3000

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0024520FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rheumatology, LLC Rheumatology CurrentSince Feb 1, 2024 Accepting new patients
Coastal Rheumatology, LLC Rheumatology CurrentSince Feb 1, 2024 Accepting new patients

Locations

4331 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 237-3000

4700 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 961-3252

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1366536708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN STREET",
            "address_2": "SUITE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-961-3252",
            "fax_number": "954-964-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN STREET",
            "address_2": "SUITE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-961-3252",
            "fax_number": "954-964-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKIN",
        "first_name": "WAYNE",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME0024520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018369800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wayne.riskin.p1@direct.sfrheum.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "mailto:wayne.riskin.p1@direct.sfrheum.nextgenshare.com",
            "address_1": "4700 Sheridan Street",
            "address_2": "Suite C",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.