Samrah Riaz
NPI 1790593580ActiveIndividual· Dentist, General Practice· Manitowoc, WI
Dentist, General Practice in Manitowoc, Wisconsin, licensed in WI, with an NPI issued in December 2024. Enrolled in Medicare as order and referring only - dentist.
Overview
| NPI | 1790593580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 25, 2024 |
| Last updated in NPPES | Jul 16, 2025 |
| Certified by provider | Jul 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6001852-15 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (WI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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