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SAADIA RIZVI M.D.
NPI 1215319611
Internal Medicine in Mckinney, TX

Active since June 22, 2015PECOS Enrolled
4500 MEDICAL CENTER DR, MCKINNEY, TX 75069(972) 547-8000 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2023, Jan 31, 2023, Jul 24, 2019 (3 updates tracked since 2019).

About Saadia Rizvi M.d. NPPES

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

SAADIA RIZVI M.D. (NPI 1215319611) is an individual internal medicine provider in Mckinney, Texas, licensed in Texas (T8031) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215319611
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAADIA RIZVICredential: M.D.
Location Address4500 MEDICAL CENTER DRMckinney, TX 75069-1650
Mailing Address4500 Medical Center DrMckinney, TX 75069-1650 · (972) 547-8000
Phone(972) 547-8000
Sole ProprietorNo
Enumeration DateJune 22, 2015
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1215319611 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 TX · T8031
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 ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 300127 (NY), T8031 (TX)
4500 MEDICAL CENTER DR, Mckinney, TX 75069
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saadia Rizvi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Saadia Rizvi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Questcare Matrix, PLLC
5.3 mi
Emergency Medicine
8300 ELDORADO PKWY
Mckinney, TX 75070
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
NPI 1740605492 (954) 939-5000

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 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.
391 services124 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.
85 services84 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.
84 services82 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.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75069 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

STEPHANIE BRYE UENG MS CCC-SLP
Speech-Language Pathologist
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069
Collin County (972) 547-8000
TINA ELLISON NIZIOL RN
Registered Nurse
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069
Collin County (972) 547-8000
GEORGE STRUBY GRAHAM MD
Radiology (Diagnostic Radiology)
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069
Collin County (972) 540-4300
MRS. NKECHI ALINA OKAM M.D.
Internal Medicine
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069
Collin County (203) 739-8105
JOHN MICHAEL CHAPMAN PAC
Physician Assistant
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069
Collin County (972) 540-4919
DR. CHARLES ERNIE CARPENTER MD
Emergency Medicine
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069
Collin County (972) 758-3598
DR. JULIAN K. MARDOCK M.D.
Anesthesiology
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069
Collin County (972) 547-8190
MRS. DEBRA SLACK WOHLERS ARNP
Nurse Practitioner (Neonatal)
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069
Collin County (972) 547-8000

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 Saadia Rizvi's NPI number?

The NPI number for Saadia Rizvi is 1215319611. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Saadia Rizvi located?

Saadia Rizvi practices at 4500 Medical Center Dr, Mckinney, TX 75069. The listed phone number is (972) 547-8000.

What is Saadia Rizvi's specialty?

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

Is Saadia Rizvi enrolled in Medicare?

Yes. Saadia Rizvi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Saadia Rizvi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saadia Rizvi reassigns Medicare benefits to Questcare Matrix, PLLC (Mckinney, TX). The 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 Saadia Rizvi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saadia Rizvi accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Saadia Rizvi 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.

When was this NPI record last updated?

The NPPES record for Saadia Rizvi was last updated on February 23, 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.