RABIA ALVI M.D.
NPI 1275798498
Hospitalist in Germantown, TN

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment
76.51/100
CMS Quality Rating
1240 S GERMANTOWN RD, GERMANTOWN, TN 38138(877) 348-1281 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2024, Nov 20, 2023, Jun 6, 2022 and 1 more (4 updates tracked since 2016).

About Rabia Alvi M.d. NPPES

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

RABIA ALVI M.D. (NPI 1275798498) is an individual hospitalist provider in Germantown, Tennessee, licensed in Tennessee (48079) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275798498
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameRABIA ALVICredential: M.D.
Location Address1240 S GERMANTOWN RDGermantown, TN 38138-2226
Mailing AddressPo Box 405827Atlanta, GA 30384-5827
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 28, 2008
Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1275798498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in TN · 48079 Licensed in MS · 33920
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 ListedFamily MedicineTaxonomy 207Q00000X · License MD48079 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License 48079 (TN)
1240 S GERMANTOWN RD, Germantown, TN 38138

Secondary Practice Locations 2

Location 1917 W Walnut StJohnson City, TN 37604-6527 · Phone (423) 439-6464
Location 27691 Poplar AveGermantown, TN 38138-3904 · Phone (901) 516-1290 · Fax (901) 516-1220

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

Rabia Alvi M.d. 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 ID1153585666
PECOS Enrollment IDI20120613000695, I20240926004646
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 7

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.
315 services144 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.
308 services132 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.
69 services68 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.
67 services67 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
61 services59 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 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.

76.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.53
Promoting Interoperability82
Improvement Activities40
Cost66.19

Reported Quality Measures

Advance Care Plan
100%354 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%251 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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers33 claims43 services$15.94 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
3 suppliers40 claims49 services$74.42 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 2

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

Nurse Practitioner (Acute Care)
1240 S GERMANTOWN RD
GERMANTOWN, TN 38138
Internal Medicine
1240 S GERMANTOWN RD
GERMANTOWN, TN 38138

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 Rabia Alvi's NPI number?

The NPI number for Rabia Alvi is 1275798498. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Rabia Alvi located?

Rabia Alvi practices at 1240 S Germantown Rd, Germantown, TN 38138. The listed phone number is (877) 348-1281.

What is Rabia Alvi's specialty?

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

Is Rabia Alvi enrolled in Medicare?

Yes. Rabia Alvi 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 Rabia Alvi accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Rabia Alvi 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 Rabia Alvi affiliated with any hospitals?

According to CMS data, Rabia Alvi is affiliated with Baptist Memorial Hospital Desoto, Baptist Memorial Hospital and Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Rabia Alvi was last updated on September 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.