Active NPI
David Riesz, M.D.
- Diagnostic Radiology Physician
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- K5677
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00141574 | Other | TX | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI, MO, IL, TN, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036153832 | IL | MD | Diagnostic Radiology Physician |
| 2021003847 | MO | MD | Diagnostic Radiology Physician |
| K5677 | TX | MD | Diagnostic Radiology Physician |
| 306289 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| Coastal Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| M&S Radiology Associates, PA | Current | Accepting new patients | |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Specialists in Medical Imaging SC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Hurley Medical Center | Diagnostic Radiology | Current | 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 | Past | 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
- 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.
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
TX
-
dba Mid-State Radiology
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
TX
-
- Diagnostic Radiology Physician
- Alexandria, LA
- NPI 1033215710
TX
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.