Individual provider Active NPI

Nazish Riaz, MD

  • Neurology Physician
  • Chesterfield, MO
National Provider Identifier
1659689495
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2018012673 Issued in MO
Practice address
111 Saint Lukes Center Dr BLDG B
Chesterfield, MO 63017-3509
Phone
(636) 685-7745
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 2018012673 MO
Clinical Neurophysiology Physician 2084N0600X 2018012673 MO
Neurology Physician 2084N0400X 2018012673 MO Primary

Addresses

Primary practice location

111 Saint Lukes Center Dr BLDG B
Chesterfield, MO 63017-3509

Mailing address

111 Saint Lukes Center Dr BLDG B
Chesterfield, MO 63017-3509
Phone (516) 526-1079

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
I20200811001481 MO Practitioner - NeurologyPractitioner - Other (Physician) 5991921819 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018012673MOMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery and Neurology LLC Neurology CurrentSince Sep 1, 2020 Accepting new patients

Locations

111 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 798-7100

111 Saint Lukes Center Dr
Ste 20B
Chesterfield, MO 63017
Phone (314) 205-1926

111 Saint Lukes Center Dr
Bldg B
Chesterfield, MO 63017
Phone (314) 205-1926

232 S Woods Mill Rd
Ste 400E
Chesterfield, MO 63017
Phone (314) 205-6744

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1659689495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR BLDG B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "516-526-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR BLDG B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "636-685-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAZ",
        "first_name": "NAZISH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "MO",
            "license": "2018012673",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MO",
            "license": "2018012673",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2018012673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.