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BUSHRA ZIA MD
NPI 1922552181
Internal Medicine in Holyoke, MA

Active since August 05, 2016PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
11 HOSPITAL DR FL 3, HOLYOKE, MA 01040(413) 540-5048(413) 540-5049 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bushra Zia Md NPPES

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

BUSHRA ZIA MD (NPI 1922552181) is an individual internal medicine provider in Holyoke, Massachusetts, licensed in Massachusetts (291000) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922552181
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBUSHRA ZIACredential: MD
Location Address11 HOSPITAL DR FL 3Holyoke, MA 01040-6601
Mailing Address262 New Ludlow RdChicopee, MA 01020-4324 · (413) 535-4714 · Fax (413) 535-4716
Phone(413) 540-5048
Fax(413) 540-5049
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 5, 2016
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
✔ NPI 1922552181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 291000
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.
11 HOSPITAL DR FL 3, Holyoke, MA 01040
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Bushra Zia 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 ID8628364361
PECOS Enrollment IDI20220602002298
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 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.

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.
82 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
30 services29 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.
22 services22 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 services16 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

TENZIN NYIMA FNP-C
Nurse Practitioner (Family)
11 HOSPITAL DR FL 3
HOLYOKE, MA 01040
Hampden County (413) 534-2870
ARIELLE JORDAN CRAWFORD FNP
Nurse Practitioner
11 HOSPITAL DR FL 3
HOLYOKE, MA 01040
Hampden County (413) 534-2870
CHRISTINA ANN REARDON
Dietitian, Registered
11 HOSPITAL DR FL 3
HOLYOKE, MA 01040
Hampden County (413) 535-4757
DR. PASQUALE M ROCCO MD
Surgery
11 HOSPITAL DR FL 3
HOLYOKE, MA 01040
Hampden County (413) 540-5048
DR. IOANNIS RAFTOPOULOS MD
Surgery
11 HOSPITAL DR FL 3
HOLYOKE, MA 01040
Hampden County (413) 535-4757
JAMES M CURTIN PA-C
Physician Assistant (Surgical)
11 HOSPITAL DR FL 3
HOLYOKE, MA 01040
Hampden County (413) 532-1411
JEANNE MCCARTHY PA-C
Physician Assistant (Medical)
11 HOSPITAL DR FL 3
HOLYOKE, MA 01040
Hampden County (413) 540-5048

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 Bushra Zia's NPI number?

The NPI number for Bushra Zia is 1922552181. It was assigned to this individual provider in the NPPES registry on August 5, 2016.

Where is Bushra Zia located?

Bushra Zia practices at 11 Hospital Dr Fl 3, Holyoke, MA 01040. The listed phone number is (413) 540-5048.

What is Bushra Zia's specialty?

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

Is Bushra Zia enrolled in Medicare?

Yes. Bushra Zia 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 Bushra Zia accept?

Health plans from Anthem Blue Cross and Blue Shield list Bushra Zia 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 Bushra Zia affiliated with any hospitals?

According to CMS data, Bushra Zia is affiliated with Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Bushra Zia was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.