RAZA SHAH M.D.
NPI 1205098910
Ophthalmology in Olney, MD

Q: What is Raza Shah's NPI number?

The NPI number for Raza Shah is 1205098910. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Raza Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Raza Shah was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2919 OLNEY SANDY SPRING RD STE D, OLNEY, MD 20832(301) 876-4900(240) 483-4493 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2019, Jun 14, 2018, Feb 24, 2016 (3 updates tracked since 2016).

On this page

About Raza Shah M.d. NPPES

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

RAZA SHAH M.D. (NPI 1205098910) is an individual ophthalmology provider in Olney, Maryland, licensed in Maryland (DO070196) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1205098910

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameRAZA SHAHCredential: M.D.

Location Address2919 OLNEY SANDY SPRING RD STE DOlney, MD 20832

Mailing Address2919 Olney Sandy Spring Rd Ste DOlney, MD 20832-1589 · (301) 876-4900 · Fax (240) 483-4493

Phone(301) 876-4900

Fax(240) 483-4493

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJune 25, 2008

Last NPPES UpdateMay 16, 20193 updates tracked since enumeration

✔ NPI 1205098910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in MD · DO070196✔ Licensed in AZ · 47350

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT193230 (PA)

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License MD046226 (DC), 26983 (WV), MD455997 (PA)

2919 OLNEY SANDY SPRING RD STE D, Olney, MD 20832

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Other Identifiers 3

OtherMT193230Medical Training

OtherD0070196MD · Medical Board

OtherMD046226DC · Medical Board

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

Raza Shah 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 ID1557500576

PECOS Enrollment IDI20180302000969

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 14

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.

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

2,060 services700 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

906 services648 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

878 services854 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

853 services828 patients

Measurement of retinal and optic nerve function targeting multiple separate locations 92274

This procedure measures the health of your eye's retina and optic nerve. It focuses on various specific areas to identify potential issues. The test is non-invasive, painless, and helps detect eye conditions early for effective treatment.

712 services513 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

667 services516 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

584 services60 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

492 services264 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

305 services63 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

286 services286 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

201 services105 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

123 services122 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

14 services14 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Suburban Hospital

Acute Care Hospitals · Bethesda, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210022

Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20832 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

100%569 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

100%487 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

96%79 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 654 patients

100%654 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%89 patients

Tobacco Use and Help with Quitting Among Adolescents

100%57 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,118 patients

Patients totalRate: 0% · 1,118 patients

0%1,118 patients5/55-star benchmark: 100%

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 2

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

MARYLAND RETINA INSTITUTE LLC

Clinic/Center (Medical Specialty)

2919 OLNEY SANDY SPRING RD STE D
OLNEY, MD 20832

Montgomery County (301) 876-4900

MARYLAND RETINA INSTITUTE LLC

Ophthalmology (Retina Specialist)

2919 OLNEY SANDY SPRING RD STE D
OLNEY, MD 20832

Montgomery County (301) 876-4900

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 Raza Shah's NPI number?

The NPI number for Raza Shah is 1205098910. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Raza Shah located?

Raza Shah practices at 2919 Olney Sandy Spring Rd Ste D, Olney, MD 20832. The listed phone number is (301) 876-4900.

What is Raza Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Raza Shah enrolled in Medicare?

Yes. Raza Shah 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.

Is Raza Shah affiliated with any hospitals?

According to CMS data, Raza Shah is affiliated with Suburban Hospital.

When was this NPI record last updated?

The NPPES record for Raza Shah was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.