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DR. ABBAS RAZA MD
NPI 1326006040
Internal Medicine - Gastroenterology in Oklahoma City, OK

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112(405) 949-3349(405) 945-5467 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Abbas Raza Md NPPES

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

DR. ABBAS RAZA MD (NPI 1326006040) is an individual gastroenterology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (20185) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1326006040
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ABBAS RAZACredential: MD
Location Address3300 NW EXPRESSWAYOklahoma City, OK 73112-4418
Mailing Address5300 N Independence Ave, Suite 280Oklahoma City, OK 73112-5556 · (405) 949-3349 · Fax (405) 945-5467
Phone(405) 949-3349
Fax(405) 945-5467
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 2, 2006
Last NPPES UpdateApril 5, 2017
✔ NPI 1326006040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OK · 20185
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3300 NW EXPRESSWAY, Oklahoma City, OK 73112
Open in Google Maps ↗

Other Identifiers 2

Medicaid140254001AR
Medicare UPING43787AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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. Abbas 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 ID6406830827
PECOS Enrollment IDI20040615000245, I20260325002685
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 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
186 services177 patients
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.
170 services108 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.
53 services52 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
44 services43 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
40 services40 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.
28 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.63
Promoting Interoperability100
Improvement Activities40
Cost65.9

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.

MOLLY LYNN COLVARD DNP
Nurse Practitioner (Acute Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (918) 698-4318
NORTHWEST ANESTHESIA PC
Anesthesiology
3300 NW EXPRESSWAY, 2ND FLOOR, DEPARTMENT OF ANESTHESIOLOGY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 951-2815
MRS. SARAH E HART PA-C
Physician Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3349
ANGELA M SCHRAG ARNP
Nurse Practitioner (Neonatal)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3393
MICHAEL LOUIS BRUCE
Physical Therapy Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 636-7087
MEGAN V MCFARLAND APRN
Nurse Practitioner (Pediatrics, Critical Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-4100
MYKENZIE RYAN MORRISON BSN-RN
Registered Nurse (Emergency)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
MARY J JUNG ARNP
Nurse Practitioner (Neonatal, Critical Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3393

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 Abbas Raza's NPI number?

The NPI number for Abbas Raza is 1326006040. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Abbas Raza located?

Abbas Raza practices at 3300 NW Expressway, Oklahoma City, OK 73112. The listed phone number is (405) 949-3349.

What is Abbas Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Abbas Raza enrolled in Medicare?

Yes. Abbas 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.

What insurance does Abbas Raza accept?

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

According to CMS data, Abbas Raza is affiliated with Integris Baptist Medical Center, Inc and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Abbas Raza was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.