MAHAMMAD RIZVI DO
NPI 1407412083
Internal Medicine in Sylvania, OH

Active since May 19, 2019PECOS Enrolled
5200 HARROUN RD, SYLVANIA, OH 43560(419) 824-5540(419) 882-7028 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, Aug 5, 2022, Apr 29, 2022 and 1 more (4 updates tracked since 2019).

About Mahammad Rizvi Do NPPES

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

MAHAMMAD RIZVI DO (NPI 1407412083) is an individual internal medicine provider in Sylvania, Ohio, licensed in Ohio (34.015616) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407412083
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAHAMMAD RIZVICredential: DO
Location Address5200 HARROUN RDSylvania, OH 43560-2168
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531
Fax(419) 882-7028
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 19, 2019
Last NPPES UpdateNovember 3, 20234 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1407412083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.015616
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.
5200 HARROUN RD, Sylvania, OH 43560

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahammad Rizvi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012246911
PECOS Enrollment IDI20221003002404
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.

Medicare Billing Reassignments

12

Medicare enrollment records show Mahammad Rizvi reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 303 clinicians in this Medicare group
Emergency Medicine
1900 S MAIN ST
Findlay, OH 45840
  • Reassigned Medicare billing, Ohio enrollment
  • 109 clinicians in this Medicare group
Surgery
100 W BIG BEAVER RD STE 200
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 11 clinicians in this Medicare group
General Practice
100 W BIG BEAVER RD STE 200
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Advocates In Home Health Care, P.C.
  • 10 clinicians in this Medicare group
Internal Medicine
100 W BIG BEAVER RD STE 200
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
Family Medicine
6100 OAK TREE BLVD STE 200
Independence, OH 44131
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
Pain Medicine
1480 RENAISSANCE DR STE 211
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Nova Medico Sc
  • 23 clinicians in this Medicare group
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, Delaware, Florida, Missouri, Ohio and Pennsylvania enrollments
  • 14 clinicians in this Medicare group
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, Illinois enrollment
  • 22 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 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.

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.
698 services257 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.
174 services168 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.
133 services56 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.
95 services92 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.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Emergency Medicine
5200 HARROUN RD, EMERGENCY DEPARTMENT
SYLVANIA, OH 43560
Emergency Medicine
5200 HARROUN RD
SYLVANIA, OH 43560
Pharmacist
5200 HARROUN RD
SYLVANIA, OH 43560
Pharmacist
5200 HARROUN RD
SYLVANIA, OH 43560
Nurse Practitioner (Family)
5200 HARROUN RD
SYLVANIA, OH 43560
Internal Medicine
5200 HARROUN RD
SYLVANIA, OH 43560
Family Medicine
5200 HARROUN RD
SYLVANIA, OH 43560
Pharmacist
5200 HARROUN RD
SYLVANIA, OH 43560

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 Mahammad Rizvi's NPI number?

The NPI number for Mahammad Rizvi is 1407412083. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Where is Mahammad Rizvi located?

Mahammad Rizvi practices at 5200 Harroun Rd, Sylvania, OH 43560. The listed phone number is (419) 824-5540.

What is Mahammad Rizvi's specialty?

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

Is Mahammad Rizvi enrolled in Medicare?

Yes. Mahammad Rizvi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mahammad Rizvi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahammad Rizvi reassigns Medicare benefits to 12 organizations: Promedica Multi Specialty Physicians (Toledo, OH), NW Ohio Hospital Medicine Physicians LLC (Findlay, OH), 365 Health Care Group Plc (Troy, MI), Advocates In Home Health Care PC (Troy, MI), Khalid Rao MD PC (Troy, MI) and 7 more organizations, listed in the Medicare section above. Each 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 Mahammad Rizvi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahammad Rizvi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 5 other insurers list Mahammad Rizvi 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 Mahammad Rizvi affiliated with any hospitals?

According to CMS data, Mahammad Rizvi is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Mahammad Rizvi was last updated on November 3, 2023. 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.