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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOPHIA RIZVI MD
NPI 1003435827
Radiology - Radiation Oncology in Rochester, NY

Active since April 11, 2020PECOS Enrolled
90 CRITTENDEN BLVD, ROCHESTER, NY 14642(585) 275-5830 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2026, May 8, 2026, Apr 11, 2020 (3 updates tracked since 2020).

About Sophia Rizvi Md NPPES

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

SOPHIA RIZVI MD (NPI 1003435827) is an individual radiation oncology provider in Rochester, New York, licensed in District Of Columbia (MD600005868) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003435827
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameSOPHIA RIZVICredential: MD
Location Address90 CRITTENDEN BLVDRochester, NY 14642-0001
Mailing Address90 Crittenden BoulevardRochester, NY 14642-0001 · (585) 275-5830
Phone(585) 275-5830
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 11, 2020
Last NPPES UpdateSeptember 16, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1003435827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in DC · MD600005868
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
90 CRITTENDEN BLVD, Rochester, NY 14642
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Rizvi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062970320
PECOS Enrollment IDI20260817002988
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.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Rizvi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstar Medical Group II LLC
265 mi
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1184046187 (443) 444-5606

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sophia Rizvi's NPI number?

The NPI number for Sophia Rizvi is 1003435827. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Sophia Rizvi located?

Sophia Rizvi practices at 90 Crittenden Blvd, Rochester, NY 14642. The listed phone number is (585) 275-5830.

What is Sophia Rizvi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Sophia Rizvi enrolled in Medicare?

Yes. Sophia Rizvi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Rizvi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Rizvi reassigns Medicare benefits to Medstar Medical Group II LLC (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Rizvi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Rizvi was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.