MR. MUHAMMAD-RIZWAN ALTAF RAJA NP
NPI 1255637757
Nurse Practitioner - Family in Houston, TX

Active since January 31, 2011PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
5550 KELLEY ST, HOUSTON, TX 77026(713) 218-2697 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, May 5, 2022 (2 updates tracked since 2022).

About Mr. Muhammad-rizwan Altaf Raja Np NPPES

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

MR. MUHAMMAD-RIZWAN ALTAF RAJA NP (NPI 1255637757) is an individual family provider in Houston, Texas, licensed in Texas (737294) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255637757
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MUHAMMAD-RIZWAN ALTAF RAJACredential: NP
Location Address5550 KELLEY STHouston, TX 77026-1818
Mailing Address5550 Kelley StHouston, TX 77026-1818 · (713) 566-9247
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 31, 2011
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
NPI 1255637757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 737294
5550 KELLEY ST, Houston, TX 77026

Other Identifiers 4

OtherAP118798TX · Texas Board Of Nursing
Other2009010776American Nurses Credentialing Center
Other737294TX · State License
OtherB0179581TX · Texas Department Of Public Safety

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

Mr. Muhammad-rizwan Altaf Raja Np 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 ID4082899075
PECOS Enrollment IDI20110509000161
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77026 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Psychiatry)
5550 KELLEY ST
HOUSTON, TX 77026
Family Medicine
5550 KELLEY ST
HOUSTON, TX 77026
Family Medicine
5550 KELLEY ST
HOUSTON, TX 77026
Family Medicine
5550 KELLEY ST
HOUSTON, TX 77026
Clinic/Center (Ambulatory Surgical)
5550 KELLEY ST, 3RD FLOOR
HOUSTON, TX 77026
Family Medicine
5550 KELLEY ST
HOUSTON, TX 77026
General Practice
5550 KELLEY ST
HOUSTON, TX 77026
Orthopaedic Surgery
5550 KELLEY ST
HOUSTON, TX 77026

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 Muhammad-rizwan Raja's NPI number?

The NPI number for Muhammad-rizwan Raja is 1255637757. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Where is Muhammad-rizwan Raja located?

Muhammad-rizwan Raja practices at 5550 Kelley St, Houston, TX 77026. The listed phone number is (713) 218-2697.

What is Muhammad-rizwan Raja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Muhammad-rizwan Raja enrolled in Medicare?

Yes. Muhammad-rizwan Raja 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 Muhammad-rizwan Raja accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Muhammad-rizwan Raja 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 Muhammad-rizwan Raja affiliated with any hospitals?

According to CMS data, Muhammad-rizwan Raja is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Muhammad-rizwan Raja was last updated on March 7, 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.