Organization Active NPI

Burhan Riaz MD Inc

  • Psychiatry Physician
  • Port Orange, FL
National Provider Identifier
1841014594
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BURHAN RIAZ MD INC
Practice address
646 Hills Blvd
Port Orange, FL 32127-2902
Phone
(321) 443-2938
Fax
(213) 205-1193
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Dr. Burhan Riaz, MDNPI 1679192322
Title
Ceo
Phone
(321) 443-2938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

646 Hills Blvd
Port Orange, FL 32127-2902

Mailing address

646 Hills Blvd
Port Orange, FL 32127-2902
Phone (321) 443-2938

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1841014594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 HILLS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272902",
            "telephone_number": "321-443-2938",
            "fax_number": "213-205-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 HILLS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272902",
            "telephone_number": "321-443-2938",
            "fax_number": "213-205-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURHAN RIAZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "BURHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-443-2938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.