ZOHAIR S RAZA M.D.
NPI 1104051572
Internal Medicine - Cardiovascular Disease in Pasadena, TX

Active since May 28, 2009PECOS EnrolledAccepts Medicare Assignment
6243 FAIRMONT PKWY STE 202, PASADENA, TX 77505(832) 981-1345(832) 995-1536 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, Oct 17, 2023 (2 updates tracked since 2023).

About Zohair S Raza M.d. NPPES

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

ZOHAIR S RAZA M.D. (NPI 1104051572) is an individual cardiovascular disease provider in Pasadena, Texas, licensed in Texas (S0783) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104051572
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameZOHAIR S RAZACredential: M.D.
Location Address6243 FAIRMONT PKWY STE 202Pasadena, TX 77505-4047
Mailing Address6243 Fairmont Pkwy Ste 202Pasadena, TX 77505-4047 · (832) 981-1345 · Fax (832) 995-1536
Fax(832) 995-1536
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 28, 2009
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1104051572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · S0783
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6243 FAIRMONT PKWY STE 202, Pasadena, TX 77505

Secondary Practice Locations 2

Location 114405 Fm 2100 Rd Ste KCrosby, TX 77532-6586 · Phone (832) 981-1345 · Fax (832) 995-1536
Location 21113 W Baker Rd Ste DBaytown, TX 77521-2391 · Phone (832) 981-1345 · Fax (832) 995-1536

Accepted Insurance

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

Zohair S 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 ID2961647318
PECOS Enrollment IDI20161013000851, I20200128002560
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 23

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
445 services61 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.
255 services101 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
208 services38 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
185 services106 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
126 services27 patients
Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days 99091
This service involves gathering and analyzing health data from a patient, which is digitally stored and sent to a healthcare professional. This may include heart rate, blood pressure, or blood sugar levels. The process takes at least 30 minutes and is repeated every 30 days.
123 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

St Luke's Patients Medical Center

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670031
Location4600 East Sam Houston Parkway SouthPasadena, TX 77505 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77505 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,100 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
63%190 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%267 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%922 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%922 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
71%922 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
42%922 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.

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.

Nurse Practitioner (Family)
6243 FAIRMONT PKWY STE 202
PASADENA, TX 77505
Internal Medicine (Cardiovascular Disease)
6243 FAIRMONT PKWY STE 202
PASADENA, TX 77505
Internal Medicine (Cardiovascular Disease)
6243 FAIRMONT PKWY STE 202
PASADENA, TX 77505
Internal Medicine (Interventional Cardiology)
6243 FAIRMONT PKWY STE 202
PASADENA, TX 77505

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 Zohair Raza's NPI number?

The NPI number for Zohair Raza is 1104051572. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Zohair Raza located?

Zohair Raza practices at 6243 Fairmont Pkwy Ste 202, Pasadena, TX 77505. The listed phone number is (832) 981-1345.

What is Zohair Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Zohair Raza enrolled in Medicare?

Yes. Zohair 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.

What insurance does Zohair Raza accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Zohair 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 Zohair Raza affiliated with any hospitals?

According to CMS data, Zohair Raza is affiliated with Memorial Hermann Hospital System and St Luke's Patients Medical Center.

When was this NPI record last updated?

The NPPES record for Zohair Raza was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.