DR. RAZA HUSSAIN MD
NPI 1265099923
Internal Medicine in Bristol, TN

Q: What is Raza Hussain's NPI number?

The NPI number for Raza Hussain is 1265099923. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Q: What is Raza Hussain's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raza Hussain was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 28, 2019PECOS EnrolledAccepts Medicare Assignment

53.47/100

CMS Quality Rating

1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 15, 2022, May 28, 2019 (2 updates tracked since 2019).

On this page

About Dr. Raza Hussain Md NPPES

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

DR. RAZA HUSSAIN MD (NPI 1265099923) is an individual internal medicine provider in Bristol, Tennessee, licensed in Tennessee (0000065482) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265099923

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RAZA HUSSAINCredential: MD

Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430

Mailing AddressPo Box 70622Johnson City, TN 37614-1709 · (423) 439-6282

Phone(423) 844-1121

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 28, 2019

Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration

NPPES CertifiedAugust 11, 2022

✔ NPI 1265099923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 0000065482

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.

1 MEDICAL PARK BLVD, Bristol, TN 37620

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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

Dr. Raza Hussain 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 ID2860869633

PECOS Enrollment IDI20221108001089

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 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.

323 services157 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.

273 services162 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.

117 services115 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

35 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440012

LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County

Emergency services Birthing friendly

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440050

Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County

Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number490038

Location245 Medical Park DriveMarion, VA 24354 · Smyth County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

53.47/100

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

Individually scored

Quality

28.33

Improvement Activities

Cost

48.32

Reported Quality Measures

Advance Care Plan

100%542 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%78 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 20

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

CASSONDRA NICHOLE COMPTON CRNA

Nurse Anesthetist, Certified Registered

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-2686

DAVID R HUDGENS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-3220

DR. JEAN MARIE MANCINI M.D.

Internal Medicine

1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620

Sullivan County (423) 968-3713

THOMAS A KITTS MD

Emergency Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-2100

LAURA ANN ELLER AGACNP

Nurse Practitioner (Critical Care Medicine)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-1121

DR. WALTER DAVIS ARNOLD JR. MD

Internal Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 282-1480

DR. KARL E LAWRENCE M.D.

Internal Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-1121

DR. MICHAEL WAYNE RENTZ MD

Pathology (Anatomic Pathology & Clinical Pathology)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-3220

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 Hussain's NPI number?

The NPI number for Raza Hussain is 1265099923. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Raza Hussain located?

Raza Hussain practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Raza Hussain's specialty?

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

Is Raza Hussain enrolled in Medicare?

Yes. Raza Hussain 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 Hussain affiliated with any hospitals?

According to CMS data, Raza Hussain is affiliated with Wellmont Bristol Regional Medical Center, Greeneville Community Hospital, Johnson City Medical Center and Smyth County Community Hospital.

When was this NPI record last updated?

The NPPES record for Raza Hussain was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.