Individual provider Active NPI

Rizwan Tai, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1780039792
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2366 Issued in TX
Practice address
13636 Breton Ridge St Ste D
Houston, TX 77070-6077
Phone
(281) 937-4546
Fax
(346) 998-1661
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2366 TX
Podiatrist 213E00000X 2366 TX Primary

Addresses

Primary practice location

13636 Breton Ridge St Ste D
Houston, TX 77070-6077

Mailing address

13636 Breton Ridge St Ste D
Houston, TX 77070-6077
Phone (281) 937-4546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808000216 TX Practitioner - Podiatry 0648565416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Podiatry PLLCGroup PAC ID 4880924984, 2 clinicians

Practice addresses (Care Compare)

13636 Breton Ridge St
Suite D
Houston, TX 77070-6077
Phone (281) 937-4546

Hospital & facility affiliations

  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Encompass Health Rehabilitation Hospital the Vinta Inpatient rehabilitation facility, Houston, TX, CCN 673052

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue380
Removal of nail tissue61
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Podiatry PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2019 Accepting new patients
Houston Nephrology Group, P.a. PastSince Jul 1, 2022 Accepting new patients

Locations

20207 Chasewood Park Dr
Ste 203
Houston, TX 77070
Phone (281) 537-6300

10425 Huffmeister Rd
Ste 420
Houston, TX 77065
Phone (713) 396-2821

13219 Dotson Rd
Ste 200
Houston, TX 77070
Phone (281) 571-8090

12834 Willow Centre Dr
Ste E
Houston, TX 77066
Phone (281) 580-4577

13636 Breton Ridge St
Ste D
Houston, TX 77070
Phone (281) 937-4546

1221 Farr St
Waller, TX 77484
Phone (281) 937-4546

Interoperability endpoints

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

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 6

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1780039792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 BRETON RIDGE ST STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706077",
            "telephone_number": "281-937-4546",
            "fax_number": "346-998-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 BRETON RIDGE ST STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706077",
            "telephone_number": "281-937-4546",
            "fax_number": "346-998-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAI",
        "first_name": "RIZWAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2366",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.