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UMER RIZWAN MD
NPI 1508515529
Internal Medicine in Philadelphia, PA

Active since March 18, 2022PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK RD BLDG SUITE351, PHILADELPHIA, PA 19141(215) 456-6013 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Umer Rizwan Md NPPES

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

UMER RIZWAN MD (NPI 1508515529) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD488993) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of West Virginia University School Of Medicine (2022).

NPPES Registry Identity

NPI1508515529
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameUMER RIZWANCredential: MD
Location Address5501 OLD YORK RD BLDG SUITE351Philadelphia, PA 19141-3018
Mailing Address800 Garfield Ave Rm G102Parkersburg, WV 26101-5340 · (304) 424-4575 · Fax (304) 424-4577
Phone(215) 456-6013
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2022
Enumeration DateMarch 18, 2022
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1508515529 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 PA · MD488993
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5501 OLD YORK RD BLDG SUITE351, Philadelphia, PA 19141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Umer Rizwan 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 ID9335651975
PECOS Enrollment IDI20250620000885
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 Reassignment

Medicare enrollment records show Umer Rizwan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Einstein Practice Plan, Inc
Same address
Medical Toxicology
5501 OLD YORK RD
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1396327151 (215) 456-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Umer Rizwan's NPI number?

The NPI number for Umer Rizwan is 1508515529. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Umer Rizwan located?

Umer Rizwan practices at 5501 Old York Rd Bldg Suite351, Philadelphia, PA 19141. The listed phone number is (215) 456-6013.

What is Umer Rizwan's specialty?

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

Is Umer Rizwan enrolled in Medicare?

Yes. Umer Rizwan 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 Umer Rizwan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Umer Rizwan reassigns Medicare benefits to Einstein Practice Plan, Inc (Philadelphia, PA). 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 Umer Rizwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Umer Rizwan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Umer Rizwan 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 Umer Rizwan affiliated with any hospitals?

According to CMS data, Umer Rizwan is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Umer Rizwan was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.