DR. SAMUEL JR. RIASE (DPM) – Podiatrist, NPI 1003929886

DR. SAMUEL JR. RIASE (DPM) is a healthcare provider. based in Tuscaloosa, Alabama. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 53 (AL). The NPI Number for DR. SAMUEL JR. RIASE (DPM) is 1003929886

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL JR. RIASE (DPM)
NPI
1003929886
Phone
(205) 507-1264
Address
535 JACK WARNER PKWY NE
Enumeration Date
16 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485282116
Graduation Year
1977 (49 years ago)
PAC ID
2860432705
Group Practice PAC ID
7719240977
Professional Enrollment ID
I20050510000557
Address ID
AL361044227MO150XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

127 PODIATRY in AL

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Provider Addresses for DR. SAMUEL JR. RIASE (DPM)

  • 535, Jack Warner Parkway Northeast, Tuscaloosa, Tuscaloosa County, Alabama, 35404, United States

    G-2

    TUSCALOOSA, AL 354045751

    Phone: (205) 507-1264

    Fax: (205) 507-1266

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050510000557IPodiatryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails286231$0
G0127Trimming of dystrophic nails, any number178169$0
11720Removal of fingernails or toenails, 1-5 nails172166$0
10060Simple or single drainage of skin abscess5753$0
11730Simple separation of fingernail or toenail from nail bed, first nail1716$0
View full utilization report →

Insurance plans in this area (ZIP 35404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719240977View full group profile
NameSpecialtyState
Qualified AudiologistAL
P O D I A T R YFL
Qualified AudiologistAL
Qualified AudiologistAL
O P T O M E T R YAL
O P T O M E T R YTX
-AL
Qualified AudiologistAL
P O D I A T R YFL
P O D I A T R YAL

Reviews

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Frequently asked questions

What federal number belongs to DR. SAMUEL JR. RIASE (DPM)?
The federal identifier for DR. SAMUEL JR. RIASE (DPM) is NPI 1003929886.
Is DR. SAMUEL JR. RIASE (DPM) currently active in the NPI registry?
CMS-published data lists DR. SAMUEL JR. RIASE (DPM) as an active registrant.
What kind of provider is DR. SAMUEL JR. RIASE (DPM)?
The page reflects Podiatrist for DR. SAMUEL JR. RIASE (DPM). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SAMUEL JR. RIASE (DPM)?
The page summarizes Tuscaloosa, Alabama for DR. SAMUEL JR. RIASE (DPM); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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