Individual provider Active NPI

David Riesz, M.D.

  • Diagnostic Radiology Physician
National Provider Identifier
1487629929
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K5677 Issued in TX
Practice address
Wilford Hall
1100 Wilford Hall Loop, BLDG 4554, Jbsa Lackland, TX
Apo, AA 78236
Phone
(210) 262-1417
NPI assigned
Feb 20, 2006
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2021003847 MO
Diagnostic Radiology Physician 2085R0202X 036153832 IL
Diagnostic Radiology Physician 2085R0202X K5677 TX Primary

Addresses

Primary practice location

Wilford Hall
1100 Wilford Hall Loop, BLDG 4554, Jbsa Lackland, TX
Apo, AA 78236

Mailing address

311 Camden St
Suite 208
San Antonio, TX 78215-2012
Phone (210) 829-0228

Other practice location 1

bamc
3551 Roger Brooke
Ft Sam Houston, TX 78234
Phone (210) 262-1417

Other practice location 2

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

Other identifiers 1

IdentifierTypeStateIssuer
P00141574OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, MO, IL, TN, NY6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20040604000674 TX Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 7911989728 Reassigns benefits to 18 organizations
I20210310000321 MI Practitioner - Diagnostic Radiology 7911989728 Reassigns benefits to 1 organization
I20230928000947 MO Practitioner - Diagnostic Radiology 7911989728 Reassigns benefits to 1 organization
I20231023000400 IL Practitioner - Diagnostic Radiology 7911989728 Reassigns benefits to 1 organization
I20231218001159 TN Practitioner - Diagnostic Radiology 7911989728 Reassigns benefits to 1 organization
I20260210003604 NY Practitioner - Diagnostic Radiology 7911989728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Alaska Radiology Associates IncGroup PAC ID 0648182725, 37 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1201 Queen Peggy LN
Lewisville, TX 75056-5808
Phone (337) 439-4706

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4587

22 Cheslyn
San Antonio, TX 78230-4451
Phone (907) 339-9455

2301 Douglas Dr
San Angelo, TX 76904-5410
Phone (718) 223-4685

4815 Ave
Suite 2
Galveston, TX 77551-4834
Phone (337) 439-4706

5904 Laird Dr
Austin, TX 78757-3231
Phone (615) 851-6033

8 Ancient BND
San Antonio, TX 78248-1637
Phone (615) 312-0600

8010 Ivan Reid Dr
Houston, TX 77040-2556
Phone (718) 223-4685

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036153832ILMDDiagnostic Radiology Physician
2021003847MOMDDiagnostic Radiology Physician
K5677TXMDDiagnostic Radiology Physician
306289NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Sep 1, 2023 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Blessing Hospital CurrentSince Sep 1, 2023 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
M&S Radiology Associates, PA CurrentSince Mar 1, 2004 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Oct 9, 2023 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Feb 2, 2023 Accepting new patients
Hurley Medical Center CurrentSince Dec 10, 2020 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 28, 2020 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jan 15, 2021 Accepting new patients
Hurley Medical Center Current Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Oct 23, 2020 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Dec 10, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology Past Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients
Rufino Salinas, M.D., P.a. Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 82)

100 Frist Ct
Ste B
Columbus, GA 31909

1831 5th Ave
Ste B
Columbus, GA 31904

710 Center St
Ste B
Columbus, GA 31901

1050 Valdosta Hwy
#A
Homerville, GA 31634

2200 Vernon St
Lagrange, GA 30240

1937 Momentum Pl
Chicago, IL 60689

1005 Broadway St
Quincy, IL 62301

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

1201 S Main St
Ste 1
Crown Point, IN 46307

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-3070

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 34

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 34

Hospital & facility affiliations 5

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1487629929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "SUITE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-829-0228",
            "fax_number": "210-455-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "WILFORD HALL",
            "address_2": "1100 WILFORD HALL LOOP, BLDG 4554, JBSA LACKLAND, TX",
            "city": "APO",
            "state": "AA",
            "postal_code": "78236",
            "telephone_number": "210-262-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "bamc",
            "address_2": "3551 Roger Brooke",
            "address_purpose": "LOCATION",
            "city": "Ft Sam Houston",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-262-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016877",
            "country_code": "US",
            "telephone_number": "217-223-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIESZ",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2021003847",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036153832",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K5677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00141574",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.