Individual provider Active NPI

Mohammad Riaz, MD

  • Cardiovascular Disease Physician
  • Okeechobee, FL
National Provider Identifier
1669576104
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
43238 Issued in FL
Practice address
204 N E 19TH Drive
Okeechobee, FL 34972-1932
Phone
(863) 763-4011
Fax
(863) 467-1156
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 43238 FL Primary

Addresses

Primary practice location

204 N E 19TH Drive
Okeechobee, FL 34972-1932

Mailing address

PO Box 1268
Okeechobee, FL 34973-1268
Phone (863) 763-4011

Other identifiers 4

IdentifierTypeStateIssuer
10D2014769OtherFLCLIA CERTIFICATE OF WAIVER
060054371OtherFLRAILROAD MEDICARE
068559300MedicaidFL
592401624OtherFLTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050817000200 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951331198 Practice locations: Okeechobee, FL

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 NE 19TH Dr
Okeechobee, FL 34972-1932
Phone (863) 763-4011

Hospital & facility affiliations

  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
97.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43238FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Medical Group LC Cardiovascular Disease Past Accepting new patients
Mohammad Riaz MD PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1669576104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349731268",
            "telephone_number": "863-763-4011",
            "fax_number": "863-467-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N E 19TH DRIVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721932",
            "telephone_number": "863-763-4011",
            "fax_number": "863-467-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAZ",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "43238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAIVER",
            "identifier": "10D2014769",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060054371",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068559300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "592401624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.