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SOHAIL RIAZ M.D.
NPI 1164753679
Internal Medicine - Nephrology in Frisco, TX

Active since January 22, 2010PECOS EnrolledAccepts Medicare Assignment
5575 WARREN PKWY STE 316, FRISCO, TX 75034(214) 579-6800(972) 685-4881 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2025, May 19, 2022, Mar 25, 2020 and 1 more (4 updates tracked since 2020).

About Sohail Riaz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOHAIL RIAZ M.D. (NPI 1164753679) is an individual nephrology provider in Frisco, Texas, licensed in Texas (N7167) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164753679
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSOHAIL RIAZCredential: M.D.
Location Address5575 WARREN PKWY STE 316Frisco, TX 75034-4066
Mailing Address17500 W Grand Pkwy SSugar Land, TX 77479-2562 · (281) 725-5026 · Fax (281) 725-5089
Phone(214) 579-6800
Fax(972) 685-4881
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 22, 2010
Last NPPES UpdateJanuary 10, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1164753679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · N7167
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License N7167 (TX)
5575 WARREN PKWY STE 316, Frisco, TX 75034
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14701 Old Shepard Pl Ste 100Plano, TX 75093-5295 · Phone (214) 358-2300 · Fax (972) 599-2090
Location 23800 Gaylord Pkwy Ste 910Frisco, TX 75034-9419 · Phone (214) 358-2300

Other Identifiers 1

OtherN7167TX · Texas License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sohail Riaz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648465641
PECOS Enrollment IDI20101117000054
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
295 services126 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
182 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
107 services92 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
86 services30 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
74 services26 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%211 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAMITHA SUDHEER MD
Internal Medicine (Nephrology)
5575 WARREN PKWY STE 316
FRISCO, TX 75034
Denton County (214) 579-6800
ATINDER PANESAR M.D.
Internal Medicine (Nephrology)
5575 WARREN PKWY STE 316
FRISCO, TX 75034
Denton County (214) 358-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sohail Riaz's NPI number?

The NPI number for Sohail Riaz is 1164753679. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Sohail Riaz located?

Sohail Riaz practices at 5575 Warren Pkwy Ste 316, Frisco, TX 75034. The listed phone number is (214) 579-6800.

What is Sohail Riaz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sohail Riaz enrolled in Medicare?

Yes. Sohail Riaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sohail Riaz accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sohail Riaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sohail Riaz affiliated with any hospitals?

According to CMS data, Sohail Riaz is affiliated with Christus Good Shepherd Medical Center, Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Rockwall and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Sohail Riaz was last updated on January 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.