Individual provider Active NPI

Waqar Ahmad Rizvi, M.D.

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1396030631
Registry record updated Aug 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA10144800 Issued in NJ
Practice address
2500 Metrohealth Dr
Cleveland, OH 44109
Phone
(216) 778-4973
Fax
(216) 778-2397
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18533 NH
Psychiatry Physician 2084P0800X 54157 CT
Psychiatry Physician 2084P0800X MD462774 PA
Psychiatry Physician 2084P0800X 291999 NY
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 25MA10144800 NJ Primary

Addresses

Primary practice location

2500 Metrohealth Dr
Cleveland, OH 44109

Mailing address

655 E Jersey St
Elizabeth, NJ 07206-1259
Phone (908) 994-7723

Other practice location 1

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-4973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180105000252 CT Practitioner - Psychiatry 0840509931 Reassigns benefits to 3 organizations
I20180417001791 NJ Practitioner - Psychiatry 0840509931 Reassigns benefits to 1 organization
I20180920002894 PA Practitioner - Psychiatry 0840509931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54157CTMDPsychiatry Physician
18533NHMDPsychiatry Physician
25MA10144800NJMDPsychiatry Physician
291999NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. - Archdiocese of Hartford CurrentSince Jan 13, 2019 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Mar 10, 2018 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Dec 28, 2020 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Dec 28, 2020 Accepting new patients
Harvest Healthcare LLC Psychiatry CurrentSince Nov 11, 2017 Accepting new patients
Catholic Charities Inc - Archdiocese of Hartford Current Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

45 Wadsworth St
Hartford, CT 06106
Phone 8605271124283

896 Asylum Ave
Hartford, CT 06105
Phone (860) 522-8241

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

1691 US Highway 9
Toms River, NJ 08755
Phone (732) 914-1688

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 6

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533427200000",
    "number": "1396030631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061259",
            "telephone_number": "908-994-7723",
            "fax_number": "908-994-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44109",
            "telephone_number": "216-778-4973",
            "fax_number": "216-778-2397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-4973",
            "fax_number": "216-778-2397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "WAQAR",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2018-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "18533",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "54157",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD462774",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "291999",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10144800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.