DAVID J RIDEN MD
NPI 1871588277
Urology - Pediatric Urology in Marietta, GA

Q: What is David Riden's NPI number?

The NPI number for David Riden is 1871588277. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is David Riden's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for David Riden was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since September 13, 2005PECOS Enrolled

3747 ROSWELL RD STE 201, MARIETTA, GA 30062(770) 578-2868 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2019, Jun 20, 2017 (2 updates tracked since 2017).

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About David J Riden Md NPPES

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

DAVID J RIDEN MD (NPI 1871588277) is an individual pediatric urology provider in Marietta, Georgia, licensed in Georgia (39916) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1871588277

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDAVID J RIDENCredential: MD

Location Address3747 ROSWELL RD STE 201Marietta, GA 30062

Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340

Phone(770) 578-2868

Sole ProprietorNo

Enumeration DateSeptember 13, 2005

Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration

✔ NPI 1871588277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in GA · 39916✔ Licensed in TN · 31240

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

3747 ROSWELL RD STE 201, Marietta, GA 30062

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Secondary Practice Location 1

Location 12100 W Clinch Ave, Suite130Knoxville, TN 37916-2219 · Phone (865) 673-9315 · Fax (865) 673-9316

Other Identifiers 1

Medicaid3841062TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

David J Riden Md 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.

Other Providers at the Same Location NPPES 6

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

PAUL MICHAEL ZMAJ M.D.

Urology (Pediatric Urology)