ZAINAB RAZA MD
NPI 1174016919
Internal Medicine in Philadelphia, PA

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
245 N 15TH ST FL 6, PHILADELPHIA, PA 19102(215) 762-6900(215) 762-4231 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Zainab Raza Md NPPES

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

ZAINAB RAZA MD (NPI 1174016919) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT216069) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174016919
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameZAINAB RAZACredential: MD
Location Address245 N 15TH ST FL 6Philadelphia, PA 19102-1101
Mailing Address245 N 15th St Fl 6Philadelphia, PA 19102-1101 · (215) 762-6900 · Fax (215) 762-4231
Fax(215) 762-4231
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 6, 2018
NPI 1174016919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MT216069
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.

245 N 15TH ST FL 6, Philadelphia, PA 19102

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

Zainab Raza Md 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 ID2365798311
PECOS Enrollment IDI20210827001499
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 4

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
547 services220 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.
98 services95 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.
68 services66 patients
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.
23 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$42.06 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
245 N 15TH ST FL 6
PHILADELPHIA, PA 19102
Internal Medicine
245 N 15TH ST FL 6
PHILADELPHIA, PA 19102
Internal Medicine
245 N 15TH ST FL 6
PHILADELPHIA, PA 19102
Internal Medicine
245 N 15TH ST FL 6
PHILADELPHIA, PA 19102
Radiology (Diagnostic Radiology)
245 N 15TH ST FL 6
PHILADELPHIA, PA 19102
Internal Medicine
245 N 15TH ST FL 6
PHILADELPHIA, PA 19102
Internal Medicine
245 N 15TH ST FL 6
PHILADELPHIA, PA 19102
Internal Medicine
245 N 15TH ST FL 6
PHILADELPHIA, PA 19102

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 Zainab Raza's NPI number?

The NPI number for Zainab Raza is 1174016919. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Zainab Raza located?

Zainab Raza practices at 245 N 15th St Fl 6, Philadelphia, PA 19102. The listed phone number is (215) 762-6900.

What is Zainab Raza's specialty?

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

Is Zainab Raza enrolled in Medicare?

Yes. Zainab 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 Zainab Raza accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Zainab 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 Zainab Raza affiliated with any hospitals?

According to CMS data, Zainab Raza is affiliated with Emory University Hospital, Emory University Hospital Midtown and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Zainab Raza was last updated on June 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.