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ALI RAZA M.D.
NPI 1649844473
Hospitalist in Rochester, NY

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
1425 PORTLAND AVE STE 287, ROCHESTER, NY 14621(585) 922-5067 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2024, Feb 21, 2023, May 17, 2021 (3 updates tracked since 2021).

About Ali Raza M.d. NPPES

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

ALI RAZA M.D. (NPI 1649844473) is an individual hospitalist provider in Rochester, New York, licensed in New York (330803) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1649844473
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameALI RAZACredential: M.D.
Location Address1425 PORTLAND AVE STE 287Rochester, NY 14621-3011
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Phone(585) 922-5067
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 17, 2021
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1649844473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 330803
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 330803 (NY)
1425 PORTLAND AVE STE 287, Rochester, NY 14621
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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

Ali 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 ID4981008109
PECOS Enrollment IDI20241016001470
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 3

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 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.
79 services41 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.
76 services33 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

MR. RAYHAN PRASANTHA PITIGALA M.D.
Hospitalist
1425 PORTLAND AVE STE 287
ROCHESTER, NY 14621
Monroe County (585) 922-5067
PILAR FINSEL
Physician Assistant
1425 PORTLAND AVE STE 287
ROCHESTER, NY 14621
Monroe County (585) 922-5067
AYAD SADDA M.D.
Internal Medicine
1425 PORTLAND AVE STE 287
ROCHESTER, NY 14621
Monroe County (585) 922-5067

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 Ali Raza's NPI number?

The NPI number for Ali Raza is 1649844473. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Ali Raza located?

Ali Raza practices at 1425 Portland Ave Ste 287, Rochester, NY 14621. The listed phone number is (585) 922-5067.

What is Ali Raza's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ali Raza enrolled in Medicare?

Yes. Ali 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.

Is Ali Raza affiliated with any hospitals?

According to CMS data, Ali Raza is affiliated with United Memorial Medical Center, Rochester General Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Ali Raza was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.