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RIZWAN ALI M.D
NPI 1588005276
Internal Medicine in Kingwood, TX

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
19701 KINGWOOD DR STE 9, KINGWOOD, TX 77339(304) 435-7553 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2023, Jul 8, 2021, Jun 8, 2020 and 2 more (5 updates tracked since 2016).

About Rizwan Ali M.d NPPES

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

RIZWAN ALI M.D (NPI 1588005276) is an individual internal medicine provider in Kingwood, Texas, licensed in Texas (S2210) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1588005276
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRIZWAN ALICredential: M.D
Location Address19701 KINGWOOD DR STE 9Kingwood, TX 77339-3775
Mailing AddressPo Box 540088Houston, TX 77254-0088
Phone(304) 435-7553
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 10, 2013
Last NPPES UpdateNovember 29, 20235 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1588005276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · S2210✔ Licensed in LA · 302226
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 ListedHospitalistTaxonomy 208M00000X · License 29105 (WV)
19701 KINGWOOD DR STE 9, Kingwood, TX 77339
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Secondary Practice Locations 5

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543
Location 2501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432
Location 33200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5432
Location 4211 4th St, Rapides Regional Medical CenterAlexandria, LA 71301 · Phone (318) 769-5283
Location 52727 W Holcombe BlvdHouston, TX 77025-1669 · Phone (713) 442-0000

Other Identifiers 3

Medicaid415876801TX
Medicaid415876804TX
Medicaid415876805TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and more.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

Rizwan Ali 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 ID5193968204
PECOS Enrollment IDI20200728002959
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 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 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.
3,946 services481 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.
379 services344 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.
202 services186 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.
179 services67 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%295 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
2 suppliers29 claims29 services$68.38 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims21 services$27.74 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

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

GREATER HOUSTON INFECTIOUS DISEASES CENTER PA
Internal Medicine (Infectious Disease)
19701 KINGWOOD DR STE 9
KINGWOOD, TX 77339
Harris County (281) 609-4011

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 Rizwan Ali's NPI number?

The NPI number for Rizwan Ali is 1588005276. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Rizwan Ali located?

Rizwan Ali practices at 19701 Kingwood Dr Ste 9, Kingwood, TX 77339. The listed phone number is (304) 435-7553.

What is Rizwan Ali's specialty?

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

Is Rizwan Ali enrolled in Medicare?

Yes. Rizwan Ali 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 Rizwan Ali accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, HMO Louisiana and Molina Healthcare and 2 other insurers list Rizwan Ali 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 Rizwan Ali affiliated with any hospitals?

According to CMS data, Rizwan Ali is affiliated with Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Rizwan Ali was last updated on November 29, 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.