MUDUSAR I RAZA M.D.
NPI 1467562371
Internal Medicine - Pulmonary Disease in Hagerstown, MD

Q: What is Mudusar Raza's NPI number?

The NPI number for Mudusar Raza is 1467562371. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Mudusar Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Mudusar Raza was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

12821 OAK HILL AVE, HAGERSTOWN, MD 21742(301) 733-0300(301) 733-5773 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mudusar I Raza M.d. NPPES

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

MUDUSAR I RAZA M.D. (NPI 1467562371) is an individual pulmonary disease provider in Hagerstown, Maryland, licensed in Maryland (D66166) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1467562371

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMUDUSAR I RAZACredential: M.D.

Location Address12821 OAK HILL AVEHagerstown, MD 21742-2940

Mailing Address12821 Oak Hill AveHagerstown, MD 21742-2940 · (301) 733-0300 · Fax (301) 733-5773

Phone(301) 733-0300

Fax(301) 733-5773

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 30, 2006

Last NPPES UpdateApril 5, 2022

NPPES CertifiedApril 5, 2022

✔ NPI 1467562371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MD · D66166

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedSpecialistTaxonomy 174400000X · License 053707 (GA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D66166 (MD)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License D66166 (MD)

12821 OAK HILL AVE, Hagerstown, MD 21742

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Secondary Practice Location 1

Location 1801 Toll House Ave Ste B2Frederick, MD 21701-6110 · Phone (240) 575-9032 · Fax (240) 575-9042

Other Identifiers 3

Other91623801MD · Carefirst Bcbs

Other74960005DC · Carefirst Bcbs

Medicaid413617900MD

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

Mudusar I Raza 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 ID8527163997

PECOS Enrollment IDI20080213000356, I20160315000324

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

Medicare enrollment records show Mudusar Raza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anacostia Medical Associates

3.1 mi

Critical Care Medicine

11116 MEDICAL CAMPUS RD
Hagerstown, MD 21742

Reassigned Medicare billing, District of Columbia and Maryland enrollments
12 clinicians in this Medicare group

NPI 1376973362 (301) 790-8000

Medical Practices Of Antietam LLC

3.2 mi

Clinic/Center

11110 MEDICAL CAMPUS RD
Hagerstown, MD 21742

Reassigned Medicare billing, Maryland enrollment
242 clinicians in this Medicare group

NPI 1710854963 (301) 790-8000

Lifebridge Community Physicians Inc

36 mi

Otolaryngology

504 E RIDGEVILLE BLVD STE 110
Mount Airy, MD 21771

Reassigned Medicare billing, Maryland enrollment
317 clinicians in this Medicare group

NPI 1487460291 (443) 289-3459

Shock Trauma Associates, P.A.

63 mi

Emergency Care

22 S GREENE ST
Baltimore, MD 21201

Reassigned Medicare billing, Maryland enrollment
Medicare enrollment name: Shock Trauma Associates PA
541 clinicians in this Medicare group

NPI 1679512909 (410) 328-6704

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 22

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.

1,520 services963 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.

456 services135 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

342 services337 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

339 services336 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

338 services335 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

179 services119 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.

145 services48 patients

Professional services for outpatient pulmonary rehabilitation with continuous monitoring of blood oxygen, per session 94626

Outpatient pulmonary rehabilitation involves exercises and education to improve lung function. During each session, your blood oxygen level is continuously monitored to ensure safety and effectiveness. This service aids in managing respiratory issues.

138 services38 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.

138 services138 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

114 services62 patients

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.

105 services91 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

87 services79 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.

67 services64 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

65 services50 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

49 services44 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

43 services43 patients

Artery puncture collection of blood sample 36600

Artery puncture collection is a procedure where a thin needle is inserted into an artery, typically in your wrist, to collect a blood sample. This method often provides more accurate results for certain tests, such as oxygen and carbon dioxide levels. It's generally safe but may cause slight discomfort.

27 services26 patients

Blood gases measurement 82803

Blood gases measurement is a test that checks how well your lungs move oxygen into your blood and remove carbon dioxide. It involves drawing blood from an artery, typically in your wrist. The results help evaluate your lung function and guide treatment plans.

27 services26 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

21 services21 patients

Test to measure oxygen level in blood using ear or finger device continuously overnight 94762

This procedure involves using a small device, placed on your ear or finger, to continuously monitor your blood oxygen level overnight. It's painless, non-invasive, and helps assess your body's oxygen supply during sleep.

18 services18 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

18 services17 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210001

Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County

Emergency services Birthing friendly

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390138

Location501 East Main StWaynesboro, PA 17268 · Franklin County

Emergency services

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391303

Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers15 claims30 services$1.43 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers30 claims30 services$93.47 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers20 claims40 services$35.89 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers20 claims81 services$19.97 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers20 claims72 services$14.69 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

9 suppliers33 claims33 services$56.82 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers47 claims47 services$19.58 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

10 suppliers57 claims57 services$15.78 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers74 claims310 services$2.20 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers18 claims18 services$12.11 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier19 claims21 services$16.61 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers11 claims11 services$866.47 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers38 claims38 services$14.43 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier33 claims33 services$6.35 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers61 claims62 services$44.47 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers42 claims48 services$82.65 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers16 claims20 services$34.58 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers12 claims3,406 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

15 suppliers27 claims3,720 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

16 suppliers32 claims2,012 services$0.78 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

14 suppliers35 claims35 services$25.89 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

11 suppliers13 claims13 services$51.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALIM AHMED MD

Internal Medicine (Pulmonary Disease)

12821 OAK HILL AVE
HAGERSTOWN, MD 21742

Washington County (301) 733-0300

SHAHEEN IQBAL MD

Internal Medicine (Pulmonary Disease)

12821 OAK HILL AVE
HAGERSTOWN, MD 21742

Washington County (301) 733-0300

BRANDY LOCKE CRNP

Nurse Practitioner (Acute Care)

12821 OAK HILL AVE
HAGERSTOWN, MD 21742

Washington County (301) 733-0300

DRS. WAHEED ALENCHERRY AND IQBAL PA

Internal Medicine (Pulmonary Disease)

12821 OAK HILL AVE
HAGERSTOWN, MD 21742

Washington County (301) 733-0300

DR. PAJMAN ALEXANDER DANAI MD

Internal Medicine (Pulmonary Disease)

12821 OAK HILL AVE
HAGERSTOWN, MD 21742

Washington County (301) 733-0300

CASEY SETON SULLIVAN RN

Nurse Practitioner (Family)

12821 OAK HILL AVE
HAGERSTOWN, MD 21742

Washington County (301) 733-0300

MEDICAL PRACTICES OF ANTIETAM LLC

Internal Medicine (Pulmonary Disease)

12821 OAK HILL AVE
HAGERSTOWN, MD 21742

Washington County (301) 733-0300

MEDOVILLE PHARMACY INC.

Pharmacy (Community/Retail Pharmacy)

12821 OAK HILL AVE
HAGERSTOWN, MD 21742

Washington County (301) 378-2334

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 Mudusar Raza's NPI number?

The NPI number for Mudusar Raza is 1467562371. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mudusar Raza located?

Mudusar Raza practices at 12821 Oak Hill Ave, Hagerstown, MD 21742. The listed phone number is (301) 733-0300.

What is Mudusar Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mudusar Raza enrolled in Medicare?

Yes. Mudusar 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 organizations bill Medicare for Mudusar Raza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mudusar Raza reassigns Medicare benefits to 4 organizations: Anacostia Medical Associates (Hagerstown, MD), Medical Practices Of Antietam LLC (Hagerstown, MD), Lifebridge Community Physicians Inc (Mount Airy, MD) and Shock Trauma Associates, P.A. (Baltimore, MD). 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 Mudusar Raza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mudusar Raza affiliated with any hospitals?

According to CMS data, Mudusar Raza is affiliated with Meritus Medical Center, Wellspan Waynesboro Hospital and Fulton County Medical Center.

When was this NPI record last updated?

The NPPES record for Mudusar Raza was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.