DR. FAUZI N RIZVI MD
NPI 1699734269
Internal Medicine in Washington, DC

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
76.78/100
CMS Quality Rating
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 537-4342 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2025, Jul 21, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Fauzi N Rizvi Md NPPES

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

DR. FAUZI N RIZVI MD (NPI 1699734269) is an individual internal medicine provider in Washington, District Of Columbia, licensed in Texas (T3864) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1699734269
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. FAUZI N RIZVICredential: MD
Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633
Mailing Address5255 Loughboro Rd NwWashington, DC 20016-2633 · (202) 537-4342
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 21, 2006
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1699734269 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 · T3864 Licensed in DC · MD045350 Licensed in MD · D0062180
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 51913 (KY)
5255 LOUGHBORO RD NW, Washington, DC 20016

Other Identifiers 3

Medicaid405729500MD
OtherP00187742MD · Railroad
OtherJ5850011MD · Bcbs

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

Dr. Fauzi N Rizvi 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 ID6709848450
PECOS Enrollment IDI20180424001006, I20250103001854, I20251219002364
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 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.
235 services119 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.
223 services108 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.
102 services100 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.
44 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

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%32 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims31 services$15.88 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
6 suppliers27 claims36 services$79.36 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 20

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

Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

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 Fauzi Rizvi's NPI number?

The NPI number for Fauzi Rizvi is 1699734269. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Fauzi Rizvi located?

Fauzi Rizvi practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 537-4342.

What is Fauzi Rizvi's specialty?

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

Is Fauzi Rizvi enrolled in Medicare?

Yes. Fauzi Rizvi 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 Fauzi Rizvi accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellSense Health Plan list Fauzi Rizvi 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 Fauzi Rizvi affiliated with any hospitals?

According to CMS data, Fauzi Rizvi is affiliated with Melrosewakefield Healthcare, Baptist Medical Center, University Of Virginia Medical Center, Sentara Martha Jefferson Hospital and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Fauzi Rizvi was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.