Individual provider Active NPI

Riad Kesiry, MD

  • Internal Medicine Physician
  • Colleyville, TX
National Provider Identifier
1891913679
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P3740 Issued in TX
Practice address
1004 Heron Dr W
Colleyville, TX 76034-1300
Phone
(419) 290-2815
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00047771 WA
Internal Medicine Physician 207R00000X P3740 TX Primary

Addresses

Primary practice location

1004 Heron Dr W
Colleyville, TX 76034-1300

Mailing address

1004 Heron Dr W
Colleyville, TX 76034-1300

Other identifiers 1

IdentifierTypeStateIssuer
307149004MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnsmith1234@memorialhospitaldirect.net Weatherford Health Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000226 TX Practitioner - Internal Medicine 3971695081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

713 E Anderson St
Medical City Weatherford
Weatherford, TX 76086-5705
Phone (954) 939-5000

Hospital & facility affiliations

  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3740TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince May 26, 2019 Accepting new patients
Weatherford Health Services, LLC Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1000 N Cooper St
Arlington, TX 76011
Phone (817) 548-3400

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891913679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HERON DR W",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 HERON DR W",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341300",
            "telephone_number": "419-290-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESIRY",
        "first_name": "RIAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00047771",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307149004",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnsmith1234@memorialhospitaldirect.net",
            "affiliation": "Y",
            "affiliationName": "Weatherford Health Services, LLC",
            "address_1": "713 East Anderson Street",
            "city": "Weatherford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.