DR. MUMTAZ RAZA MD
NPI 1427083294
Psychiatry & Neurology - Child & Adolescent Psychiatry in Hoffman Estates, IL

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
1786 MOON LAKE BLVD, SUITE 104, HOFFMAN ESTATES, IL 60194(847) 755-8090(847) 843-7393 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mumtaz Raza Md NPPES

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

DR. MUMTAZ RAZA MD (NPI 1427083294) is an individual child & adolescent psychiatry provider in Hoffman Estates, Illinois and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1427083294
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MUMTAZ RAZACredential: MD
Location Address1786 MOON LAKE BLVD, SUITE 104Hoffman Estates, IL 60194-5029
Mailing Address1786 Moon Lake Blvd, Suite 104Hoffman Estates, IL 60194-5029 · (847) 755-8090 · Fax (847) 843-7393
Fax(847) 843-7393
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1427083294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1786 MOON LAKE BLVD, Hoffman Estates, IL 60194

Other Names 1

Former Name (1)Dr. Mumtaz Fatima Md

Other Identifiers 2

Medicare UPING16095IL
Medicare ID-Type UnspecifiedL91996IL · Medicare #

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. Mumtaz 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 ID2769508779
PECOS Enrollment IDI20100928000474
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 4

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 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.
101 services32 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
45 services11 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.
44 services11 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.
11 services11 patients

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.

Reported Quality Measures

Anti-Depressant Medication Management
Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment.
34%44 patients
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfStart: 1% · 219 patients
15%201 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,450 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%4,689 patients5/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%836 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
10%214 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 25% · 390 patients
23%390 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%834 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%834 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 37 patients
5%37 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
20%834 patients
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.

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.

Social Worker
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60194
Psychiatry & Neurology (Psychiatry)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60194
Psychologist (Clinical)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60194
Psychiatry & Neurology (Psychiatry)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60194
Surgery (Plastic and Reconstructive Surgery)
1786 MOON LAKE BLVD, SUITE 205
HOFFMAN ESTATES, IL 60194
Psychologist (Clinical)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60194
Psychiatry & Neurology (Psychiatry)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60194
Social Worker
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60194

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 Mumtaz Raza's NPI number?

The NPI number for Mumtaz Raza is 1427083294. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Dr. Mumtaz Fatima MD.

Where is Mumtaz Raza located?

Mumtaz Raza practices at 1786 Moon Lake Blvd Suite 104, Hoffman Estates, IL 60194. The listed phone number is (847) 755-8090.

What is Mumtaz Raza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mumtaz Raza enrolled in Medicare?

Yes. Mumtaz 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 Mumtaz Raza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mumtaz 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.

When was this NPI record last updated?

The NPPES record for Mumtaz Raza was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.