NPIMap

Individual provider Active NPI

Riaz Haider, M.D.

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1871549006
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6985 Issued in TX
Practice address
1290 Highway 157 N
Mansfield, TX 76063-1538
Phone
(817) 473-0277
Fax
(817) 473-0911
NPI assigned
May 26, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J6985 TX Primary

Addresses

Primary practice location

1290 Highway 157 N
Mansfield, TX 76063-1538

Mailing address

1290 Highway 157 N
Mansfield, TX 76063-1538
Phone (817) 473-0277

Other identifiers 1

IdentifierTypeStateIssuer
091922701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071210000440 TX Practitioner - Family Practice 0648369926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1290 Hwy 157 N
Mansfield, TX 76063-1538
Phone (817) 473-0277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
7.38 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
24.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T6985TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenleaf Hospice LLC Family Medicine Current Accepting new patients
Alshafa,P.a. Family Medicine CurrentSince Aug 8, 2007 Accepting new patients
Decatur Hospital Authority Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Mansfield Long Term Care LLC Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients

Locations

1290 Highway 157 N
Mansfield, TX 76063
Phone (817) 473-0277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBAGDD/Endpoint/FBAGDD
  • Direct secure messaging: riaz.haider.1@18822.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Five Points Nursing and RehabilitationDesoto, TX, CCN 745006 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1871549006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631538",
            "telephone_number": "817-473-0277",
            "fax_number": "817-473-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631538",
            "telephone_number": "817-473-0277",
            "fax_number": "817-473-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "RIAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091922701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.