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FARKHUNDA RAZA MD
NPI 1215208053
Internal Medicine in Stony Brook, NY

Active since January 25, 2012PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
STONY BROOK MEDICINE 101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Farkhunda Raza Md NPPES

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

FARKHUNDA RAZA MD (NPI 1215208053) is an individual internal medicine provider in Stony Brook, New York, licensed in New York (301548) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1215208053
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameFARKHUNDA RAZACredential: MD
Location AddressSTONY BROOK MEDICINE 101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address228 Pulaski RdKings Park, NY 11754-2517 · (631) 793-0802
Phone(631) 689-8333
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 25, 2012
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1215208053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 301548
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
STONY BROOK MEDICINE 101 NICOLLS RD, Stony Brook, NY 11794
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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

Farkhunda 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 ID7012302474
PECOS Enrollment IDI20220322000176
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 Farkhunda Raza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Suffolk, P.C
6.3 mi
Family Medicine
48 ROUTE 25A, SUITE 210
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Southwest Suffolk Medical PC
  • 348 clinicians in this Medicare group
NPI 1730428467 (631) 465-6225
Caremed Primary And Urgent Care PC
11 mi
Internal Medicine
1 E ROE BLVD
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1487050134 (631) 475-3900
North Shore-Lij Medical PC
32 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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 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 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.
493 services248 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.
102 services102 patients
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.
60 services30 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.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.41 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
1 supplier25 claims25 services$67.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Farkhunda Raza's NPI number?

The NPI number for Farkhunda Raza is 1215208053. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Where is Farkhunda Raza located?

Farkhunda Raza practices at Stony Brook Medicine 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Farkhunda Raza's specialty?

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

Is Farkhunda Raza enrolled in Medicare?

Yes. Farkhunda 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.

Which organizations bill Medicare for Farkhunda Raza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Farkhunda Raza reassigns Medicare benefits to 3 organizations: Southwest Suffolk, P.C (Smithtown, NY), Caremed Primary And Urgent Care PC (Patchogue, NY) and North Shore-Lij Medical PC (Great Neck, NY). 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 Farkhunda Raza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Farkhunda Raza affiliated with any hospitals?

According to CMS data, Farkhunda Raza is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Farkhunda Raza was last updated on January 17, 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.