Individual provider Active NPI

Rashad Mohamed Riazuddin, MD

  • Family Medicine Physician
  • Colleyville, TX
National Provider Identifier
1851917363
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U4573 Issued in TX
Practice address
5207 Heritage Ave
Colleyville, TX 76034-5915
Phone
(817) 355-8000
NPI assigned
Jun 20, 2020
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38396 OK
Family Medicine Physician 207Q00000X U4573 TX Primary

Addresses

Primary practice location

5207 Heritage Ave
Colleyville, TX 76034-5915

Mailing address

5207 Heritage Ave
Colleyville, TX 76034-5915

Other practice location 1

1 Choctaw Way
Talihina, OK 74571-2022
Phone (918) 567-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230102000222 TX Practitioner - Family Practice 6507236882 Reassigns benefits to 6 organizations
I20260618002905 OH Practitioner - Family Practice 6507236882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7474 Greenway Ctr Dr
Suite 1000
Greenbelt, MD 20770

7474 Greenway Ctr Dr
Suite 1000
Greenbelt, MD 20770-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38396OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jan 20, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 19, 2022 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Texas Emergency Group LLC CurrentSince Oct 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 17, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 19, 2022 Accepting new patients
Elis Medical Corporation Family Medicine CurrentSince Aug 16, 2023 Accepting new patients
Concord North Texas, PLLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

5207 Heritage Ave
Colleyville, TX 76034
Phone (817) 355-8000

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 312-5137

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: fmcrriazu@yourcarecommunity.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAJDD
  • Direct secure messaging: rashad.riazuddin.1@6815.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1851917363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345915",
            "telephone_number": "817-355-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Choctaw Way",
            "address_purpose": "LOCATION",
            "city": "Talihina",
            "state": "OK",
            "postal_code": "745712022",
            "country_code": "US",
            "telephone_number": "918-567-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED RIAZUDDIN",
        "first_name": "RASHAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-20",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "38396",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U4573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.