Individual provider Active NPI

Shahbaz A. Riaz, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1992952113
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2008022457 Issued in MO
Practice address
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone
(602) 263-1200
NPI assigned
Aug 19, 2008
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2008022457 MO Primary

Addresses

Primary practice location

4212 N 16TH St
Phoenix, AZ 85016-5319

Mailing address

Phoenix Indian Med Ctr
PO Box 31001-0698
Pasadena, CA 91110-0698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 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
I20081003000564 MO Practitioner - HospitalistPractitioner - Internal Medicine 9436227444 Reassigns benefits to 3 organizations
Practice locations: Springfield, MO
I20140304001017 TX Practitioner - Internal Medicine 9436227444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Senior Care of Missouri IncGroup PAC ID 1052853421, 10 clinicians

Practice addresses (Care Compare)

910 N College Ave
Suite 4
Columbia, MO 65201-4797
Phone (636) 642-1215

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008022457MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Feb 3, 2014 Accepting new patients
Ozarks Medical Center CurrentSince Sep 19, 2018 Accepting new patients
Advanced Senior Care of Missouri Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Feb 3, 2014 Accepting new patients
Boone Physician Services, LLC CurrentSince May 4, 2020 Accepting new patients
Ozarks Medical Center CurrentSince Sep 19, 2018 Accepting new patients
Arrowhead Retirement Operations LLC Past Accepting new patients

Locations (25 of 32)

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

301 S Henry Clay Blvd
Ashland, MO 65010
Phone (573) 222-5650

525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540

117 S Hickman St
Centralia, MO 65240
Phone (573) 682-3204

750 E Highway 22
Centralia, MO 65240
Phone (573) 508-0662

109 N Keene St
Columbia, MO 65201
Phone (573) 443-2007

1201 Hunt Ave
Columbia, MO 65202
Phone (573) 449-1448

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

2012 E Nifong Blvd
Columbia, MO 65201
Phone (573) 449-1246

2333 Chapel Hill Rd
Columbia, MO 65203
Phone (573) 234-1091

2910 Bluff Creek Dr
Columbia, MO 65201
Phone (573) 256-4620

3003 Falling Leaf Ct
Columbia, MO 65201
Phone (573) 256-4620

3105 Bluff Creek Dr
Columbia, MO 65201
Phone (573) 442-6060

3535 Berrywood Dr
Columbia, MO 65201
Phone (573) 397-7144

3710 S Lenoir St
Columbia, MO 65201
Phone (573) 815-6359

4700 Brandon Woods St
Columbia, MO 65203
Phone (573) 574-3674

550 Stone Valley Pkwy
Columbia, MO 65203
Phone (573) 527-3836

910 N College Ave
Ste 4
Columbia, MO 65201
Phone (573) 682-5913

619 E 8th St
Eldon, MO 65026
Phone (573) 557-9545

120 N Hospital Dr
Fulton, MO 65251
Phone (573) 642-5222

100 Audsley Dr
Glasgow, MO 65254
Phone (660) 338-2297

100 Medical Dr
Hannibal, MO 63401

229 Karen Dr
Holts Summit, MO 65043
Phone (573) 896-8567

239 Karen Dr
Holts Summit, MO 65043
Phone (573) 415-0390

Interoperability endpoints

  • Direct secure messaging: shahbazriaz@mhccaremail.com

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 5

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1992952113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PHOENIX INDIAN MED CTR",
            "address_2": "PO BOX 31001-0698",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAZ",
        "first_name": "SHAHBAZ",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2008022457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.