Active NPI
Nazish Riaz, MD
- Neurology Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2018012673
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018012673 | MO | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgery and Neurology LLC | Neurology | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.