KHADIJA RAZA MD
NPI 1891114393
Internal Medicine - Gastroenterology in Binghamton, NY

Active since April 11, 2014PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
40 MITCHELL AVE, FL 3, BINGHAMTON, NY 13903(607) 772-0639 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2025, Sep 13, 2017, Jul 27, 2017 (3 updates tracked since 2017).

About Khadija Raza Md NPPES

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

KHADIJA RAZA MD (NPI 1891114393) is an individual gastroenterology provider in Binghamton, New York, licensed in New York (290153) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891114393
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameKHADIJA RAZACredential: MD
Location Address40 MITCHELL AVE, FL 3Binghamton, NY 13903
Mailing Address33 Lewis Rd, 2nd FlBinghamton, NY 13905 · (607) 729-8156
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 11, 2014
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1891114393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 290153
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 290153 (NY)
40 MITCHELL AVE, Binghamton, NY 13903

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

Khadija Raza 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 ID941425193
PECOS Enrollment IDI20170926000051
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.

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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.

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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%125 patients4/55-star benchmark: 92%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
91%69 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
79%186 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%186 patients4/55-star benchmark: 90%
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers40 claims105 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims20 services$1.08 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$209.52 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 13

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

Pediatrics (Pediatric Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Internal Medicine
40 MITCHELL AVE
BINGHAMTON, NY 13903
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, FL 3
BINGHAMTON, NY 13903
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, 3RD FLOOR
BINGHAMTON, NY 13903
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, 3RD FL
BINGHAMTON, NY 13903
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903

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 Khadija Raza's NPI number?

The NPI number for Khadija Raza is 1891114393. It was assigned to this individual provider in the NPPES registry on April 11, 2014.

Where is Khadija Raza located?

Khadija Raza practices at 40 Mitchell Ave Fl 3, Binghamton, NY 13903. The listed phone number is (607) 772-0639.

What is Khadija Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Khadija Raza enrolled in Medicare?

Yes. Khadija 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 Khadija Raza affiliated with any hospitals?

According to CMS data, Khadija Raza is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Khadija Raza was last updated on July 2, 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.