SAMRAH RIAZ - NPI 1790593580 - Dentist in Manitowoc, WI

Q: What is Samrah Riaz's NPI number?

The NPI number for Samrah Riaz is 1790593580. It was assigned to this individual provider in the NPPES registry on December 25, 2024.

Q: What is Samrah Riaz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Samrah Riaz was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Samrah Riaz NPPES

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

SAMRAH RIAZ (NPI 1790593580) is an individual general practice provider in Manitowoc, Wisconsin, licensed in Wisconsin (6001852-15) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Downers Grove.

NPPES Registry Identity

NPI1790593580

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSAMRAH RIAZ

Location Address2719 CALUMET AVEManitowoc, WI 54220-5546

Mailing Address1801 Burr Oak CtWaukesha, WI 53189-8400 · (262) 744-5838

Phone(920) 686-2333

Sole ProprietorNo

Enumeration DateDecember 25, 2024

Last NPPES UpdateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1790593580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 6001852-15

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2719 CALUMET AVE, Manitowoc, WI 54220

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Secondary Practice Location 1

Location 13450 Lacey RdDowners Grove, IL 60515-5430 · Phone (630) 743-4500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Samrah Riaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DONNA BUECHNER NPC

Nurse Practitioner (Psychiatric/Mental Health)