Active NPI
Shahid Riaz, MD
- Neurology Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME75134
- Practice address
- 108 Park Place Blvd
Ste a
Davenport, FL 33837-6857 - Phone
- (863) 421-4700
- Fax
- (863) 421-4715
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME75134 | FL | Primary |
Addresses
Primary practice location
108 Park Place Blvd
Ste a
Davenport, FL 33837-6857
Mailing address
108 Park Place Blvd
Ste a
Davenport, FL 33837-6857
Phone (863) 421-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258383600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
108 Park Place Blvd
Suite a
Davenport, FL 33837-6857
Phone (863) 421-4700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| The Neurodiagnostic Center of Central Florida PA | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Past | Accepting new patients |
Locations
108 Park Place Blvd
Ste A
Davenport, FL 33837
Phone (863) 271-4222
40124 Highway 27
Ste 204
Davenport, FL 33837
Phone (863) 419-2156
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
7300 Sandlake Commons Blvd
Ste 106
Orlando, FL 32819
Phone (407) 341-2986
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDAFBA/Endpoint/CDAFBA
- https://fhir4.healow.com/fhir/r4/DIDADD/Endpoint/DIDADD
Organizations & group practices 4
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.
-
- Clinical Neurophysiology Physician
- Davenport, FL
- NPI 1386830198
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
dba Memorial Emergency Physicians
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Heart of Florida
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1891771119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 PARK PLACE BLVD",
"address_2": "STE A",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376857",
"telephone_number": "863-421-4700",
"fax_number": "863-421-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 PARK PLACE BLVD",
"address_2": "STE A",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376857",
"telephone_number": "863-421-4700",
"fax_number": "863-421-4715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIAZ",
"first_name": "SHAHID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME75134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258383600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.