DR. INSIA FATIMA RIZVI M.D.
NPI 1073040895
Internal Medicine - Hematology & Oncology in Milwaukee, WI

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
1218 W KILBOURN AVE STE 200, MILWAUKEE, WI 53233(414) 219-7370(414) 219-7967 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2025, Feb 2, 2022, May 11, 2017 (3 updates tracked since 2017).

About Dr. Insia Fatima Rizvi M.d. NPPES

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

DR. INSIA FATIMA RIZVI M.D. (NPI 1073040895) is an individual hematology & oncology provider in Milwaukee, Wisconsin, licensed in Wisconsin (8547920) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1073040895
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. INSIA FATIMA RIZVICredential: M.D.
Location Address1218 W KILBOURN AVE STE 200Milwaukee, WI 53233-1325
Mailing Address820 S Wood St Bldg 911Chicago, IL 60612-4325 · (312) 996-5680 · Fax (312) 996-5984
Fax(414) 219-7967
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 11, 2017
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1073040895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in WI · 8547920
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036157640 (IL)
1218 W KILBOURN AVE STE 200, Milwaukee, WI 53233

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Insia Fatima Rizvi 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 ID3577834084
PECOS Enrollment IDI20211122001030
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.

Areas of Expertise CMS Part B claims 2

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.
55 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Hematology & Oncology)
1218 W KILBOURN AVE STE 200
MILWAUKEE, WI 53233
Internal Medicine (Hematology & Oncology)
1218 W KILBOURN AVE STE 200
MILWAUKEE, WI 53233
Internal Medicine (Hematology & Oncology)
1218 W KILBOURN AVE STE 200
MILWAUKEE, WI 53233
Internal Medicine (Hematology & Oncology)
1218 W KILBOURN AVE STE 200
MILWAUKEE, WI 53233

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 Insia Rizvi's NPI number?

The NPI number for Insia Rizvi is 1073040895. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Insia Rizvi located?

Insia Rizvi practices at 1218 W Kilbourn Ave Ste 200, Milwaukee, WI 53233. The listed phone number is (414) 219-7370.

What is Insia Rizvi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Insia Rizvi enrolled in Medicare?

Yes. Insia Rizvi 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.

When was this NPI record last updated?

The NPPES record for Insia Rizvi was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.