DR. AMBREEN RAZA MD
NPI 1326398579
Internal Medicine - Infectious Disease in Milford, DE
About Dr. Ambreen Raza Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMBREEN RAZA MD (NPI 1326398579) is an individual infectious disease provider in Milford, Delaware, licensed in New Jersey (25MA11143400) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ambreen 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.
Medicare Billing Reassignment
Medicare enrollment records show Ambreen Raza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glassboro, NJ 08028
- Reassigned Medicare billing, New Jersey enrollment
- 438 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Stratford Hospital
Acute Care Hospitals · Stratford, NJThomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19963 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ambreen Raza's NPI number?
The NPI number for Ambreen Raza is 1326398579. It was assigned to this individual provider in the NPPES registry on September 14, 2012.
Where is Ambreen Raza located?
Ambreen Raza practices at 804 S Dupont Blvd, Milford, DE 19963. The listed phone number is (302) 430-0867.
What is Ambreen Raza's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Ambreen Raza enrolled in Medicare?
Yes. Ambreen 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.
Which organization bills Medicare for Ambreen Raza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ambreen Raza reassigns Medicare benefits to Kennedy Medical Group Practice P.C. (Glassboro, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ambreen Raza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ambreen Raza accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ambreen 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 Ambreen Raza affiliated with any hospitals?
According to CMS data, Ambreen Raza is affiliated with Jefferson Stratford Hospital and Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Ambreen Raza was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Ambreen Raza, MD · NPI 1326398579
Infectious Disease physician in Milford, Delaware. Individual provider, active in the CMS NPPES registry since September 14, 2012.
## Identity
- **NPI:** 1326398579 (Entity type: Individual)
- **Enumerated:** September 14, 2012
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 25MA11143400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 804 S DUPONT BLVD, Milford, DE 19963-1757
- **Phone:** (302) 430-0867
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kennedy Medical Group Practice P.C. (NPI 1740213461, Glassboro, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1326398579) · Data from the CMS NPPES public registry.