Active NPI
Riaz S Mazcuri, M.D.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1801885306
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 18, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G9772
- Practice address
- 6420 Hillcroft St
Ste 403
Houston, TX 77081-3103 - Phone
- (713) 773-4505
- Fax
- (713) 773-3591
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | G9772 | TX | |
| Psychiatry Physician | 2084P0800X | G9772 | TX | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | G9772 | TX |
Addresses
Primary practice location
6420 Hillcroft St
Ste 403
Houston, TX 77081-3103
Mailing address
6420 Hillcroft St
Ste 403
Houston, TX 77081-3103
Phone (713) 773-4505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044314502 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G9772 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Psychiatry | Past | Accepting new patients |
| University of Texas Health Science Center at Houston | Past | Accepting new patients | |
| Everhealth ,PLLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Tomball, TX
- NPI 1306872791
-
- Clinical Pathology/Laboratory Medicine Physician
- Houston, TX
- NPI 1831142751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1801885306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 HILLCROFT ST",
"address_2": "STE 403",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770813103",
"telephone_number": "713-773-4505",
"fax_number": "832-436-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 HILLCROFT ST",
"address_2": "STE 403",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770813103",
"telephone_number": "713-773-4505",
"fax_number": "713-773-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZCURI",
"first_name": "RIAZ",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "G9772",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G9772",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "TX",
"license": "G9772",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044314502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.