Individual provider Active NPI

Ahmed Riaz, DO

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1467959908
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17807 Issued in FL
Practice address
4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone
(954) 276-5552
Fax
(954) 985-2295
NPI assigned
Apr 11, 2018
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS17807 FL Primary

Addresses

Primary practice location

4105 Pembroke Rd
Hollywood, FL 33021-8103

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-3000

Other identifiers 1

IdentifierTypeStateIssuer
115824400MedicaidFL

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
I20220713000380 FL Practitioner - Family PracticePractitioner - Sports Medicine 5395097976 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone (954) 265-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Prestige Recovery and Suboxone Clinic LLC CurrentSince May 20, 2023 Accepting new patients
Prestige Clinicians LLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Urgent Care Physicians of West Kendall LLC CurrentSince Jul 2, 2024 Accepting new patients
Vikram Thakar DPM PA CurrentSince Jul 1, 2022 Accepting new patients
South Broward Hospital District Current Accepting new patients
Urgent Care Physicians of Tamiami LLC CurrentSince Jul 2, 2024 Accepting new patients
Urgent Care Physicians of Country Walk LLC CurrentSince Jul 2, 2024 Accepting new patients
Medm LLC CurrentSince May 1, 2024 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC CurrentSince Jul 2, 2024 Accepting new patients
South Broward Hospital District Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Urgent Care Physicians of Westchester LLC CurrentSince Jul 2, 2024 Accepting new patients
Baptist Health Medical Group Physicians LLC PastSince Dec 2, 2013 Accepting new patients

Locations

3342 NE 34th St
Ft Lauderdale, FL 33308
Phone (954) 358-2363

3800 W Broward Blvd
Ste 101
Ft Lauderdale, FL 33312
Phone (954) 440-0983

4105 Pembroke Rd
Hollywood, FL 33021
Phone (954) 985-1551

13001 SW 88th St
Miami, FL 33186
Phone (786) 596-3800

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300

14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100

14661 SW 56th St
Miami, FL 33175
Phone (786) 457-5261

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

4513 NW 31st Ave
Oakland Park, FL 33309
Phone (954) 496-2599

8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

11805 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 467-5200

Interoperability endpoints

  • Direct secure messaging: ahmed.riaz.1@28804.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 2

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1467959908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-3000",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 PEMBROKE RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218103",
            "telephone_number": "954-276-5552",
            "fax_number": "954-985-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAZ",
        "first_name": "AHMED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-02-04",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115824400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.