Individual provider Active NPI

Riaz S Mazcuri, M.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1801885306
Registry record updated Jun 14, 2016
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G9772 Issued in TX
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

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
044314502MedicaidTX

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G9772TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry Past Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients
Everhealth ,PLLC Psychiatry PastSince Apr 30, 2003 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.

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

Verify at the official NPI Registry.