Organization Active NPI

Dr Syed M a Riaz MD PA

  • Internal Medicine Physician
  • Linthicum, MD
National Provider Identifier
1598823221
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0040491 Issued in MD
Legal business name
DR SYED M A RIAZ MD PA
Practice address
500 S Camp Meade Rd Ste B
Linthicum, MD 21090-2703
Phone
(410) 691-2302
Fax
(410) 691-2306
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Syed Moazam Ali Riaz, M.D.NPI 1366519480
Title
President
Phone
(410) 691-2302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0040491 MD Primary

Addresses

Primary practice location

500 S Camp Meade Rd Ste B
Linthicum, MD 21090-2703

Mailing address

500 S Camp Meade Rd
Suite B
Linthicum, MD 21090-2766
Phone (410) 691-2302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100119000027 MD Part B Supplier - Clinic/Group Practice 3577605245 Receives reassigned benefits from 2 practitioners
Practice locations: Linthicum, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1064300Dr Syed Ma Riaz MD500 S Camp Meade Rd Suite B, Linthicum, MD 21090Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEJBD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598823221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S CAMP MEADE RD",
            "address_2": "SUITE B",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902766",
            "telephone_number": "410-691-2302",
            "fax_number": "410-691-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S CAMP MEADE RD STE B",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902703",
            "telephone_number": "410-691-2302",
            "fax_number": "410-691-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SYED M A RIAZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MOAZAM ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-691-2302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0040491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.