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RIZWAN ISHTIAQ MD
NPI 1730683038
Internal Medicine in Toledo, OH

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
MERCY FAMILY CARE CENTER, 2213 FRANKLIN AVE, TOLEDO, OH 43620(419) 251-2360(419) 251-2393 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2025, Jun 25, 2021, Mar 21, 2018 (3 updates tracked since 2018).

About Rizwan Ishtiaq Md NPPES

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

RIZWAN ISHTIAQ MD (NPI 1730683038) is an individual internal medicine provider in Toledo, Ohio, licensed in Ohio (35.154207) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730683038
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRIZWAN ISHTIAQCredential: MD
Location AddressMERCY FAMILY CARE CENTER, 2213 FRANKLIN AVEToledo, OH 43620
Mailing Address2213 Franklin AveToledo, OH 43620-1402
Phone(419) 251-2360
Fax(419) 251-2393
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 21, 2018
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1730683038 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 OH · 35.154207
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 67555 (CT)

Accepted Insurance

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

Rizwan Ishtiaq 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 ID3072917699
PECOS Enrollment IDI20210804001872, I20241209001547, I20250925003197
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 Reassignments

4

Medicare enrollment records show Rizwan Ishtiaq reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physicians PC
Hospitalist
201 CHESTNUT HILL RD
Stafford Springs, CT 06076
  • Reassigned Medicare billing, Connecticut enrollment
  • 112 clinicians in this Medicare group
NPI 1164227690 (860) 684-4251
Mercy Health Physicians-North LLC
Family Medicine
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 457 clinicians in this Medicare group
NPI 1609000769 (419) 871-6359
Mercy Inpatient Medical Associates Inc.
Internal Medicine
271 CAREW ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 168 clinicians in this Medicare group
NPI 1407845282 (413) 748-9321
Trinity Health Of New England Provider Network Organization Inc
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
NPI 1003882812 (860) 714-1325

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

Areas of Expertise CMS Part B claims 7

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.

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.
248 services237 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.
220 services124 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
201 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.
193 services131 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.
99 services97 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43620 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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
2 suppliers23 claims23 services$14.98 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
2 suppliers23 claims23 services$72.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ishtiaq's NPI number?

The NPI number for Rizwan Ishtiaq is 1730683038. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Rizwan Ishtiaq located?

Rizwan Ishtiaq practices at Mercy Family Care Center 2213 Franklin Ave, Toledo, OH 43620. The listed phone number is (419) 251-2360.

What is Rizwan Ishtiaq's specialty?

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

Is Rizwan Ishtiaq enrolled in Medicare?

Yes. Rizwan Ishtiaq 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 organizations bill Medicare for Rizwan Ishtiaq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rizwan Ishtiaq reassigns Medicare benefits to 4 organizations: Galen Inpatient Physicians PC (Stafford Springs, CT), Mercy Health Physicians-North LLC (Toledo, OH), Mercy Inpatient Medical Associates Inc. (Springfield, MA) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each 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 Rizwan Ishtiaq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rizwan Ishtiaq accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Rizwan Ishtiaq 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 Ishtiaq affiliated with any hospitals?

According to CMS data, Rizwan Ishtiaq is affiliated with Mercy Medical Ctr and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Rizwan Ishtiaq was last updated on September 12, 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.