QASIM RAZA MD
NPI 1235247511
Hospitalist in Randallstown, MD

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
5401 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 521-2200 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Nov 17, 2022 (2 updates tracked since 2022).

About Qasim Raza Md NPPES

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

QASIM RAZA MD (NPI 1235247511) is an individual hospitalist provider in Randallstown, Maryland, licensed in Maryland (D75246) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1235247511
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameQASIM RAZACredential: MD
Location Address5401 OLD COURT RDRandallstown, MD 21133-5103
Mailing Address5401 Old Court RdRandallstown, MD 21133-5103 · (410) 521-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 28, 2006
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1235247511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MD · D75246✔ Licensed in NY · 218638✔ Licensed in TX · T4671✔ Licensed in NJ · 25MA09226800✔ Licensed in PA · MD448719✔ Licensed in OK · 41088
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 42270 (WI)
5401 OLD COURT RD, Randallstown, MD 21133

Secondary Practice Location 1

Location 16161 S Yale AveTulsa, OK 74136-1902 · Phone (918) 502-1900 · Fax (918) 494-6303

Other Identifiers 1

Medicaid33342900WI

Accepted Insurance

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

Qasim 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 ID3072648781
PECOS Enrollment IDI20150327000752, I20240116000548
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

13

Medicare enrollment records show Qasim Raza reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery of the Hand
5401 OLD COURT RD
Randallstown, MD 21133
  • Reassigned Medicare billing, Maryland enrollment
  • 194 clinicians in this Medicare group
Obstetrics & Gynecology
5401 OLD COURT RD
Randallstown, MD 21133
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
Internal Medicine
5401 OLD COURT RD
Randallstown, MD 21133
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • 729 clinicians in this Medicare group
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 3,530 clinicians in this Medicare group
Hospitalist
400 W SEVENTH ST
Frederick, MD 21701
  • Reassigned Medicare billing, District of Columbia enrollment
  • 204 clinicians in this Medicare group
Internal Medicine
106 BOW ST
Elkton, MD 21921
  • Reassigned Medicare billing, District of Columbia enrollment
  • 347 clinicians in this Medicare group
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
General Practice
6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,144 clinicians in this Medicare group

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.
724 services278 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.
182 services179 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.
135 services83 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
63 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21133 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims5,028 services$0.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers32 claims32 services$18.88 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
4 suppliers44 claims44 services$66.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$36.44 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.

Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Specialist
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Nurse Anesthetist, Certified Registered
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Internal Medicine
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133

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 Qasim Raza's NPI number?

The NPI number for Qasim Raza is 1235247511. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Qasim Raza located?

Qasim Raza practices at 5401 Old Court Rd, Randallstown, MD 21133. The listed phone number is (410) 521-2200.

What is Qasim Raza's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Qasim Raza enrolled in Medicare?

Yes. Qasim 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 Qasim Raza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Qasim Raza reassigns Medicare benefits to 13 organizations: Northwest Hospital Center, Inc (Randallstown, MD), Sinai Hospital Of Baltimore, Inc (Randallstown, MD), Emergency Medicine Associates PA PC (Randallstown, MD), Medstar Medical Group II LLC (Baltimore, MD), Hospitalist Medicine Physicians Of Maryland PC (Frederick, MD) and 8 more organizations, listed in the Medicare section above. 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 Qasim Raza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Qasim Raza accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Health list Qasim 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 Qasim Raza affiliated with any hospitals?

According to CMS data, Qasim Raza is affiliated with Medstar Saint Mary's Hospital, Saint Francis Hospital, Inc and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Qasim Raza was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.