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DR. RASHID RIAZ M.D.
NPI 1295141802
Internal Medicine - Pulmonary Disease in Lee's Summit, MO

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
85.39/100
CMS Quality Rating
120 NE SAINT LUKE'S BLVD, 3RD FLOOR, LEE'S SUMMIT, MO 64086(816) 347-5128(816) 347-5351 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2024, Dec 21, 2020 (2 updates tracked since 2020).

About Dr. Rashid Riaz M.d. NPPES

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

DR. RASHID RIAZ M.D. (NPI 1295141802) is an individual pulmonary disease provider in Lee's Summit, Missouri, licensed in Missouri (2024039225) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Lmh, and maintains a secondary practice location in Lawrence.

NPPES Registry Identity

NPI1295141802
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RASHID RIAZCredential: M.D.
Location Address120 NE SAINT LUKE'S BLVD, 3RD FLOORLee's Summit, MO 64086-6000
Mailing Address901 E 104th St, Ms 400Kansas City, MO 64131-4517 · (816) 932-6433 · Fax (816) 932-9670
Phone(816) 347-5128
Fax(816) 347-5351
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 2, 2014
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1295141802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MO · 2024039225
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.025370 (OH)
120 NE SAINT LUKE'S BLVD, Lee's Summit, MO 64086
Open in Google Maps ↗

Secondary Practice Location 1

Location 11130 W 4th St Ste 2001Lawrence, KS 66044-1345 · Phone (785) 505-3205 · Fax (785) 505-5261

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rashid 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 ID4486078870
PECOS Enrollment IDI20200717001857, I20241115003453
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rashid Riaz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Luke's Physician Group Inc
8.9 mi
Infusion Therapy
600 NE ADAMS DAIRY PKWY
Blue Springs, MO 64014
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: Saint Lukes Physician Group Inc
  • 845 clinicians in this Medicare group
NPI 1376257220 (816) 932-4630
Lawrence Physicians LLC
39 mi
Family Medicine
410 WOODFIELD DR
Tonganoxie, KS 66086
  • Reassigned Medicare billing, Kansas enrollment
  • 281 clinicians in this Medicare group
NPI 1255748471 (785) 505-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

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.
478 services343 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
81 services77 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
81 services77 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
77 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

85.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.44
Promoting Interoperability100
Improvement Activities40
Cost69.88

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier11 claims11 services$37.28 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers17 claims32 services$14.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers24 claims24 services$51.81 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers22 claims22 services$17.74 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers19 claims19 services$10.70 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims83 services$2.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SALIL BALKRISHNA KULKARNI M.D.
Internal Medicine (Pulmonary Disease)
120 NE SAINT LUKE'S BLVD, 3RD FLOOR
LEE'S SUMMIT, MO 64086
Jackson County (816) 347-5128
DR. CHARLES ERIC SCHROEDER M.D.
Internal Medicine (Pulmonary Disease)
120 NE SAINT LUKE'S BLVD, 3RD FLOOR
LEE'S SUMMIT, MO 64086
Jackson County (816) 347-5128

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 Rashid Riaz's NPI number?

The NPI number for Rashid Riaz is 1295141802. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Rashid Riaz located?

Rashid Riaz practices at 120 NE Saint Luke's Blvd 3rd Floor, Lee's Summit, MO 64086. The listed phone number is (816) 347-5128.

What is Rashid Riaz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rashid Riaz enrolled in Medicare?

Yes. Rashid 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.

Which organizations bill Medicare for Rashid Riaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rashid Riaz reassigns Medicare benefits to 2 organizations: Saint Luke's Physician Group Inc (Blue Springs, MO) and Lawrence Physicians LLC (Tonganoxie, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rashid Riaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rashid Riaz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Rashid 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 Rashid Riaz affiliated with any hospitals?

According to CMS data, Rashid Riaz is affiliated with Lmh, Saint Luke's South Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Rashid Riaz was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.