DR. HOSSEIN RAZAVI M.D.
NPI 1083677405
Internal Medicine - Pulmonary Disease in Saint Helena, CA

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
6 WOODLAND RD, 303, SAINT HELENA, CA 94574(707) 963-0267(707) 963-7255 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2025, Feb 4, 2025, Jul 3, 2024 and 4 more (7 updates tracked since 2021).

About Dr. Hossein Razavi M.d. NPPES

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

DR. HOSSEIN RAZAVI M.D. (NPI 1083677405) is an individual pulmonary disease provider in Saint Helena, California, licensed in Indiana (01088636A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1083677405
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. HOSSEIN RAZAVICredential: M.D.
Location Address6 WOODLAND RD, 303Saint Helena, CA 94574-9501
Mailing Address6 Woodland Rd, 303Saint Helena, CA 94574-9501 · (707) 963-0267 · Fax (707) 963-7255
Fax(707) 963-7255
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateApril 7, 2006
Last NPPES UpdateOctober 17, 20227 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1083677405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in IN · 01088636A✔ Licensed in CA · A70810
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A70810 (CA)
Also ListedHospitalistTaxonomy 208M00000X · License A70810 (CA)
6 WOODLAND RD, Saint Helena, CA 94574

Secondary Practice Locations 3

Location 16 Woodland Rd, 303Saint Helena, CA 94574-9501 · Phone (707) 963-0267 · Fax (707) 963-7255
Location 211104 Parkview Circle Dr Ste 410Fort Wayne, IN 46845-0025 · Phone (260) 266-7856 · Fax (260) 266-5279
Location 32425 Samaritan DrSan Jose, CA 95124-3908 · Phone (888) 924-1036

Other Identifiers 2

OtherZZZ02470ZGroup Medicare Ptan
Medicaid00A708100CA

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. Hossein Razavi 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 ID1355344508
PECOS Enrollment IDI20060809000149
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 Hossein Razavi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2455 BENNETT VALLEY RD STE C219
Santa Rosa, CA 95404
  • Reassigned Medicare billing, California enrollment
  • 140 clinicians in this Medicare group
Critical Care Medicine
30 MARK WEST SPRINGS RD
Santa Rosa, CA 95403
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
Psychiatric Hospital
2100 NAPA VALLEJO HWY
Napa, CA 94558
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group

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 7

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services43 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
23 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94574 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
$145.99 typical visit price
range $65.08 – $192.16
Typical copayment $36.49 (range $16.27 – $48.04)
Most-billed visit code 99204
Established Patient
$113.15 typical visit price
range $21.86 – $157.83
Typical copayment $28.28 (range $5.46 – $39.45)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%36 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers24 claims24 services$776.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
6 WOODLAND RD, SUITE 102
SAINT HELENA, CA 94574
Specialist
6 WOODLAND RD, SUITE 302
SAINT HELENA, CA 94574
Orthopaedic Surgery
6 WOODLAND RD, SUITE 202
SAINT HELENA, CA 94574
Internal Medicine
6 WOODLAND RD, SUITE 202
SAINT HELENA, CA 94574
Preventive Medicine (Public Health & General Preventive Medicine)
6 WOODLAND RD, SUITE 306
SAINT HELENA, CA 94574
Surgery
6 WOODLAND RD, SUITE 301
SAINT HELENA, CA 94574
Internal Medicine (Cardiovascular Disease)
6 WOODLAND RD, SUITE 307
SAINT HELENA, CA 94574
Surgery (Plastic and Reconstructive Surgery)
6 WOODLAND RD, SUITE 302
SAINT HELENA, CA 94574

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 Hossein Razavi's NPI number?

The NPI number for Hossein Razavi is 1083677405. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Hossein Razavi located?

Hossein Razavi practices at 6 Woodland Rd 303, Saint Helena, CA 94574. The listed phone number is (707) 963-0267.

What is Hossein Razavi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hossein Razavi enrolled in Medicare?

Yes. Hossein Razavi 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 Hossein Razavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hossein Razavi reassigns Medicare benefits to 3 organizations: Anesthesia & Analgesia Medical Group, Inc. (Santa Rosa, CA), Cep America - Intensivists PC (Santa Rosa, CA) and Department Of State Hospitals (Napa, CA). 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 Hossein Razavi'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 Hossein Razavi was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.