MAHANOOR RAZA
NPI 1639844574
Family Medicine in Lebanon, PA

Active since August 12, 2021PECOS EnrolledAccepts Medicare Assignment
30 N 4TH ST, LEBANON, PA 17046(717) 270-1949 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Aug 12, 2021 (2 updates tracked since 2021).

About Mahanoor Raza NPPES

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

MAHANOOR RAZA (NPI 1639844574) is an individual family medicine provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MT222803) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and maintains a secondary practice location in Lumberton.

NPPES Registry Identity

NPI1639844574
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMAHANOOR RAZA
Location Address30 N 4TH STLebanon, PA 17046-5606
Mailing Address30 N 4th StLebanon, PA 17046-5606
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 12, 2021
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1639844574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MT222803
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
30 N 4TH ST, Lebanon, PA 17046

Secondary Practice Location 1

Location 1151 Country Lane DrLumberton, TX 77657-6803 · Phone (409) 775-3010

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

Mahanoor Raza 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 ID4486059169
PECOS Enrollment IDI20240727000401
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 2

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.
26 services19 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.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17046 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Physical Therapist
30 N 4TH ST
LEBANON, PA 17046
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Physical Medicine & Rehabilitation
30 N 4TH ST
LEBANON, PA 17046
Social Worker
30 N 4TH ST, 2ND FLOOR
LEBANON, PA 17046

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 Mahanoor Raza's NPI number?

The NPI number for Mahanoor Raza is 1639844574. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Mahanoor Raza located?

Mahanoor Raza practices at 30 N 4th St, Lebanon, PA 17046. The listed phone number is (717) 270-1949.

What is Mahanoor Raza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mahanoor Raza enrolled in Medicare?

Yes. Mahanoor 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 Mahanoor Raza accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Mahanoor 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.

Is Mahanoor Raza affiliated with any hospitals?

According to CMS data, Mahanoor Raza is affiliated with Christus Southeast Texas- St Elizabeth and Baptist Beaumont Hospital.

When was this NPI record last updated?

The NPPES record for Mahanoor Raza was last updated on June 20, 2024. 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.