DR. MUHAMMAD RAZA NAQVI M.D
NPI 1316269533
Internal Medicine - Medical Oncology in Morristown, TN

Active since February 16, 2010PECOS EnrolledAccepts Medicare Assignment
94.45/100
CMS Quality Rating
908 W 4TH NORTH ST, MORRISTOWN, TN 37814(423) 492-6100 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Nov 7, 2024, Sep 25, 2024 and 2 more (5 updates tracked since 2020).

About Dr. Muhammad Raza Naqvi M.d NPPES

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

DR. MUHAMMAD RAZA NAQVI M.D (NPI 1316269533) is an individual medical oncology provider in Morristown, Tennessee, licensed in Hawaii (MD-24737) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316269533
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. MUHAMMAD RAZA NAQVICredential: M.D
Location Address908 W 4TH NORTH STMorristown, TN 37814-3894
Mailing Address908 W 4th North StMorristown, TN 37814-3894 · (423) 492-6100
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 16, 2010
Last NPPES UpdateNovember 19, 20245 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1316269533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in HI · MD-24737
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License DR.0069618 (CO), 279797 (NY)
908 W 4TH NORTH ST, Morristown, TN 37814

Secondary Practice Locations 3

Location 18019 S New Braunfels Ste 101San Antonio, TX 78235-1069 · Phone (210) 922-5556
Location 22555 S Downing St Ste 240Denver, CO 80210-5855 · Phone (303) 715-7030
Location 3750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-5910

Other Identifiers 2

Medicaid04204573NY
MedicaidQ097358TN

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

Dr. Muhammad Raza Naqvi 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 ID1951602168
PECOS Enrollment IDI20241010003677
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 5

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.
135 services76 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.
37 services27 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.
32 services30 patients
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.
28 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161352
Location220 Essie Davison DriveClarinda, IA 51632 · Page County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37814 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
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.

94.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89
Promoting Interoperability92.91
Improvement Activities40

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.

Internal Medicine (Hematology & Oncology)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Emergency Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Pharmacist
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Nurse Practitioner (Adult Health)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Registered Nurse
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Clinical Medical Laboratory
908 W 4TH NORTH ST, MORRISTOWN-HAMBLEN HOSPITAL
MORRISTOWN, TN 37814
Physician Assistant
908 W 4TH NORTH ST
MORRISTOWN, TN 37814

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 Naqvi's NPI number?

The NPI number for Muhammad Naqvi is 1316269533. It was assigned to this individual provider in the NPPES registry on February 16, 2010.

Where is Muhammad Naqvi located?

Muhammad Naqvi practices at 908 W 4th North St, Morristown, TN 37814. The listed phone number is (423) 492-6100.

What is Muhammad Naqvi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Muhammad Naqvi enrolled in Medicare?

Yes. Muhammad Naqvi 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 Naqvi accept?

Health plans from Blue Cross and Blue Shield of Texas list Muhammad Naqvi 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 Naqvi affiliated with any hospitals?

According to CMS data, Muhammad Naqvi is affiliated with Hilo Medical Center and Clarinda Regional Health Center.

When was this NPI record last updated?

The NPPES record for Muhammad Naqvi was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.