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DR. ALI RAZA M.D
NPI 1023304946
Internal Medicine in Tomball, TX

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
455 SCHOOL ST STE 15, TOMBALL, TX 77375(281) 971-0314 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2024, Nov 9, 2024, Jan 10, 2017 (3 updates tracked since 2017).

About Dr. Ali Raza M.d NPPES

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

DR. ALI RAZA M.D (NPI 1023304946) is an individual internal medicine provider in Tomball, Texas, licensed in Texas (R9670) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Huntsville Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1023304946
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALI RAZACredential: M.D
Location Address455 SCHOOL ST STE 15Tomball, TX 77375-4594
Mailing Address455 School St Ste 15Tomball, TX 77375-4594 · (281) 971-0314
Phone(281) 971-0314
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 20, 2011
Last NPPES UpdateApril 29, 20253 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1023304946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · R9670✔ Licensed in SC · 36854✔ Licensed in NJ · 25MA09345600
Definition
A 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.
455 SCHOOL ST STE 15, Tomball, TX 77375
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Other Identifiers 3

Other25MA09345600NJ · Nj State License
Medicaid368541SC
OtherMT199651PA · Graduate Medical Trainee License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ali Raza M.d 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 ID3678794112
PECOS Enrollment IDI20200117000013
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 Reassignments

3

Medicare enrollment records show Ali Raza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Raza Medical Consultants
Same address
Internal Medicine
455 SCHOOL ST STE 15
Tomball, TX 77375
  • Reassigned Medicare billing, Texas enrollment
NPI 1205650009 (281) 971-0314
Hospital Docs PA
13 mi
Internal Medicine
15595 ZOE LOOP DR
Montgomery, TX 77316
  • Reassigned Medicare billing, Texas enrollment
  • 77 clinicians in this Medicare group
NPI 1871792309 (936) 588-6300
Hha Hospital Medicine Of Texas PLLC
42 mi
Hospitalist
110 MEMORIAL HOSPITAL DR
Huntsville, TX 77340
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
NPI 1083489967 (361) 288-2222

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

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Huntsville Memorial Hospital

Acute Care Hospitals · Huntsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450347
Location110 Memorial Hospital DriveHuntsville, TX 77340 · Walker County
Emergency services Birthing friendly

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAZA MEDICAL CONSULTANTS
Internal Medicine
455 SCHOOL ST STE 15
TOMBALL, TX 77375
Harris County (281) 971-0314

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 Ali Raza's NPI number?

The NPI number for Ali Raza is 1023304946. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Ali Raza located?

Ali Raza practices at 455 School St Ste 15, Tomball, TX 77375. The listed phone number is (281) 971-0314.

What is Ali Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ali Raza enrolled in Medicare?

Yes. Ali Raza 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.

Which organizations bill Medicare for Ali Raza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Raza reassigns Medicare benefits to 3 organizations: Raza Medical Consultants (Tomball, TX), Hospital Docs PA (Montgomery, TX) and Hha Hospital Medicine Of Texas PLLC (Huntsville, TX). Each 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 Ali Raza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Raza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 6 other insurers list Ali Raza 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 Ali Raza affiliated with any hospitals?

According to CMS data, Ali Raza is affiliated with Huntsville Memorial Hospital and Hca Houston Healthcare Tomball.

When was this NPI record last updated?

The NPPES record for Ali Raza was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.