Individual provider Active NPI

Anne T Riordan, MD

  • Dermatology Physician
  • Wildwood, MO
National Provider Identifier
1609985290
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
105913 Issued in MO
Practice address
16516 Manchester Rd
Wildwood, MO 63040-1217
Phone
(636) 458-8400
Fax
(636) 458-8404
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 105913 MO Primary

Addresses

Primary practice location

16516 Manchester Rd
Wildwood, MO 63040-1217

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9016

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Anne.Riordan@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20060111000687 MO Practitioner - Dermatology 3173542750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Skin Specialists Missouri LTD PCGroup PAC ID 8123310554, 14 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 498a
Saint Louis, MO 63141-8259
Phone (314) 251-3376

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions754
Skin biopsy156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105913MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Skin Specialists Missouri LTD, PC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
United Skin Specialists Missouri LTD, PC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
United Skin Specialists Missouri LTD, PC Current Accepting new patients
United Skin Specialists Missouri LTD, PC Dermatology Past Accepting new patients

Locations

1001 Chesterfield Pkwy E
Ste 101
Chesterfield, MO 63017
Phone (314) 878-3839

621 S New Ballas Rd
Ste 498A
Saint Louis, MO 63141
Phone (314) 251-3376

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

Interoperability endpoints

  • Direct secure messaging: anne.riordan@forefrontdermatology.emadirect.md
  • Direct secure messaging: anne.riordan@schweigerderm.emadirect.md

Organizations & group practices 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1609985290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9016",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16516 MANCHESTER RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401217",
            "telephone_number": "636-458-8400",
            "fax_number": "636-458-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIORDAN",
        "first_name": "ANNE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "105913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anne.Riordan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "16516 Manchester Rd",
            "city": "Wildwood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630401217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wildwood, MO

Sources for this page

Verify at the official NPI Registry.