DR. SHAHUL HAMEED RIAZUDEEN MD NPI 1932163888

Internal Medicine in Wimauma, FL

NPI 1932163888 Individual Male Years of Experience 34 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About SHAHUL RIAZUDEEN

Shahul Riazudeen is an internal medicine provider established in Wimauma, Florida and his medical specialization is internal medicine with more than 34 years of experience. The NPI number of Shahul Riazudeen is 1932163888 and was assigned on April 2006. The practitioner's primary taxonomy code is 207R00000X with license number ME93264 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

An internist like Dr. Shahul Hameed Riazudeen Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Shahul Riazudeen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Shahul Riazudeen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with South Bay Hospital, St Josephs Hospital, Bayfront Health - St Petersburg and Adventhealth Tampa.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: e-prescribing, health information exchange exclusion, immunization registry reporting, medication reconciliation, onc direct review attestation, patient-specific education, provide patient access, secure messaging and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1932163888

Provider NameDR. SHAHUL HAMEED RIAZUDEEN MD
Provider Location Address16541 S US HIGHWAY 301 WIMAUMA, FL 33598
Provider Mailing AddressPO BOX 5849 SUN CITY CENTER, FL 33571
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1988
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-15-2006
Last Update Date04-10-2020


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.ME93264
License StateFL
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. SHAHUL HAMEED RIAZUDEEN MD
16541 S US HIGHWAY 301
WIMAUMA, FL
ZIP 33598
Phone: (813) 633-1100
Fax: (813) 633-1152

Get Directions


Mailing Address

DR. SHAHUL HAMEED RIAZUDEEN MD
PO BOX 5849
SUN CITY CENTER, FL
ZIP 33571
Phone: (813) 633-1100
Fax: (813) 633-1152



Secondary Locations

3909 Galen Ct SUITE #102
Sun City Center, FL 33573
(813) 633-1100
4051 Upper Creek Dr Ste 104
Sun City Center, FL 33573
(813) 633-1100

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1759315195
PECOS Enrollment IDI20050924000058
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 2563Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 2069Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 614Hemoglobin A1C level (HCPCS:83036)
  • 254Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 244X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 238Administration of influenza virus vaccine (HCPCS:G0008)
  • 192Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • 176Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 168Administration of pneumococcal vaccine (HCPCS:G0009)
  • 141Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 105Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 28Removal of impact ear wax, one ear (HCPCS:69210)
  • 23Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
e-Prescribing 72% 2649
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 98% 1271
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 1% 920
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 96% 920
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 35% 920
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shahul Riazudeen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SOUTH BAY HOSPITAL4016 SUN CITY CENTER BLVD
SUN CITY CENTER, FL 33573
(813) 634-3301Acute Care Hospitals100259
ST JOSEPHS HOSPITAL3001 W MARTIN LUTHER KING JR BLVD
TAMPA, FL 33677
(813) 870-4398Acute Care Hospitals100075
BAYFRONT HEALTH - ST PETERSBURG701 6TH ST S
SAINT PETERSBURG, FL 33701
(727) 823-1234Acute Care Hospitals100032
ADVENTHEALTH TAMPA3100 E FLETCHER AVE
TAMPA, FL 33613
(813) 615-7200Acute Care Hospitals100173

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7177011OTHER (01)FL
91589OTHER (01)FL
0429725OTHER (01)FL
27785300MEDICAID (05)FL
9234745OTHER (01)FL

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144343690SHAHUL HAMEED RIAZUDEEN MD PA
Organization
Internal Medicine16541 S US HIGHWAY 301
WIMAUMA, FL 33598
(813) 633-1100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.