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RAZVAN ILIE DUCU MD PHD
NPI 1093017790
Internal Medicine in New York, NY

Active since December 01, 2010PECOS EnrolledAccepts Medicare Assignment
61.17/100
CMS Quality Rating
1000 10TH AVE, NEW YORK, NY 10019(212) 523-4000 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2023, Nov 18, 2021 (2 updates tracked since 2021).

About Razvan Ilie Ducu Md Phd NPPES

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

RAZVAN ILIE DUCU MD PHD (NPI 1093017790) is an individual internal medicine provider in New York, New York, licensed in North Carolina (2011-01620) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Baylor College Of Medicine (2008).

NPPES Registry Identity

NPI1093017790
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAZVAN ILIE DUCUCredential: MD PHD
Location Address1000 10TH AVENew York, NY 10019-1147
Mailing Address515 W 59th St Apt 28lNew York, NY 10019-1042 · (212) 523-4000
Phone(212) 523-4000
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2008
Enumeration DateDecember 1, 2010
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1093017790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2011-01620✔ Licensed in WY · 9949A✔ Licensed in UT · 13239486-1205
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.
1000 10TH AVE, New York, NY 10019
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Cigna Healthcare.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

Razvan Ilie Ducu Md Phd 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 ID8527232990
PECOS Enrollment IDI20211129000316
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 Razvan Ducu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Physicians Of Wyoming, LLC
1,665 mi
Hospitalist
1233 E 2ND ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 108 clinicians in this Medicare group
NPI 1982982708 (800) 822-7201
Memorial Hospital Of Sweetwater County
1,826 mi
Internal Medicine
1180 COLLEGE DRIVE
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1558361949 (Wyoming)
  • 176 clinicians in this Medicare group
NPI 1437312436 (307) 352-8125
Utah Regional Hospitalists LLC
1,978 mi
Hospitalist
5505 S 900 E STE 240
Murray, UT 84117
  • Reassigned Medicare billing, Utah enrollment
  • 271 clinicians in this Medicare group
NPI 1962821223 (844) 474-4019

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 5

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.
346 services152 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.
94 services93 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services59 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services55 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

61.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.83
Promoting Interoperability80
Improvement Activities40
Cost15.41

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers53 claims53 services$22.22 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$8.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers91 claims91 services$114.90 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.

LAUREN KRISTEN BOTERO MD
Internal Medicine (Hematology)
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-4000
JASMINE PARIS LORD MD
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6121
HOLLY D SHAN
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6121
RACHNA SULTANIAN MD
Emergency Medicine
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6745
ANGELA TANGREDI MD
Pediatrics
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6745
ALEXANDER VOLVOVSKY MD
Radiology (Diagnostic Radiology)
1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019
New York County (212) 536-6668
MISS JINCY THANKACHEN M.D.
Internal Medicine
1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019
New York County (212) 523-7321
SAMA ANSARI M.D.
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-4000

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 Razvan Ducu's NPI number?

The NPI number for Razvan Ducu is 1093017790. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Where is Razvan Ducu located?

Razvan Ducu practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-4000.

What is Razvan Ducu's specialty?

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

Is Razvan Ducu enrolled in Medicare?

Yes. Razvan Ducu 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 Razvan Ducu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Razvan Ducu reassigns Medicare benefits to 3 organizations: Sound Physicians Of Wyoming, LLC (Casper, WY), Memorial Hospital Of Sweetwater County (Rock Springs, WY) and Utah Regional Hospitalists LLC (Murray, UT). 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 Razvan Ducu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Razvan Ducu accept?

Health plans from Blue Cross Blue Shield of Wyoming and Cigna Healthcare list Razvan Ducu 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 Razvan Ducu affiliated with any hospitals?

According to CMS data, Razvan Ducu is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Razvan Ducu was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.