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NASHMIA RIAZ MD
NPI 1891101739
Internal Medicine - Endocrinology, Diabetes & Metabolism in West Plains, MO

Active since July 10, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1115 ALASKA ST STE 111, WEST PLAINS, MO 65775(417) 505-7114(417) 505-7814 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2020, Jun 18, 2019 (2 updates tracked since 2019).

About Nashmia Riaz Md NPPES

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

NASHMIA RIAZ MD (NPI 1891101739) is an individual endocrinology, diabetes & metabolism provider in West Plains, Missouri, licensed in Missouri (2019043901) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Texas County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891101739
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameNASHMIA RIAZCredential: MD
Location Address1115 ALASKA ST STE 111West Plains, MO 65775-2000
Mailing AddressPo Box 1100West Plains, MO 65775-1100 · (417) 256-9111
Phone(417) 505-7114
Fax(417) 505-7814
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 10, 2014
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1891101739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in MO · 2019043901✔ Licensed in TX · BP10059064
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301105318 (MI)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License TRN28685 (FL)
1115 ALASKA ST STE 111, West Plains, MO 65775
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1201 Fulton St WGrand Rapids, MI 49503-6201 · Phone (706) 294-3632
Location 21611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 243-3234

Other Identifiers 2

Other2019043901MO · State License
Medicaid200086355MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Nashmia Riaz Md 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 ID4284851221
PECOS Enrollment IDI20200729002939
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 4

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.
486 services228 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
161 services78 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.
91 services91 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250
This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Texas County Memorial Hospital

Acute Care Hospitals · Houston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260024
Location1333 Sam Houston BoulevardHouston, MO 65483 · Texas County
Emergency services Birthing friendly

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Mercy St Francis Hospital

Critical Access Hospitals · Mountain View, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261335
Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65775 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers25 claims85 services$5.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers250 claims255 services$182.17 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
6 suppliers16 claims16 services$203.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nashmia Riaz's NPI number?

The NPI number for Nashmia Riaz is 1891101739. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Nashmia Riaz located?

Nashmia Riaz practices at 1115 Alaska St Ste 111, West Plains, MO 65775. The listed phone number is (417) 505-7114.

What is Nashmia Riaz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nashmia Riaz enrolled in Medicare?

Yes. Nashmia 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 Nashmia Riaz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Nashmia 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 Nashmia Riaz affiliated with any hospitals?

According to CMS data, Nashmia Riaz is affiliated with Texas County Memorial Hospital, Ozarks Healthcare and Mercy St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Nashmia Riaz was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.