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BILAL ASHHAR MAHMOOD RIZVI M.D
NPI 1932414166
Internal Medicine in Butler, PA

Active since August 12, 2010PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL WAY, BUTLER, PA 16001(724) 285-0823(724) 285-0879 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bilal Ashhar Mahmood Rizvi M.d NPPES

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

BILAL ASHHAR MAHMOOD RIZVI M.D (NPI 1932414166) is an individual internal medicine provider in Butler, Pennsylvania, licensed in Pennsylvania (MD469931) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1932414166
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBILAL ASHHAR MAHMOOD RIZVICredential: M.D
Location Address1 HOSPITAL WAYButler, PA 16001-4670
Mailing AddressPo Box 447East Butler, PA 16029 · (724) 284-7470 · Fax (724) 284-4470
Phone(724) 285-0823
Fax(724) 285-0879
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 12, 2010
Last NPPES UpdateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
✔ NPI 1932414166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD469931
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.
1 HOSPITAL WAY, Butler, PA 16001
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Accepted Insurance

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

Bilal Ashhar Mahmood Rizvi 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 ID1557591641
PECOS Enrollment IDI20200625000228
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

3

Medicare enrollment records show Bilal Rizvi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Butler Medical Providers
Same address
Internal Medicine
1 HOSPITAL WAY
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 482 clinicians in this Medicare group
NPI 1154514982 (724) 285-0823
Heritage Valley Multispecialty Group, Inc.
23 mi
Internal Medicine
500 SHARON RD
Beaver, PA 15009
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 217 clinicians in this Medicare group
NPI 1528015401 (724) 728-8751
Excela Health Physician Practices, Inc.
34 mi
Internal Medicine
4057 OLD WILLIAM PENN HWY
Murrysville, PA 15668
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 669 clinicians in this Medicare group
NPI 1649542705 (724) 519-7541

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 6

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 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.
328 services155 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.
123 services117 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.
77 services43 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.
36 services36 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.
30 services30 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 suppliers19 claims19 services$15.98 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 suppliers19 claims19 services$76.08 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.

UZMA SHAHZAD MD
Internal Medicine (Infectious Disease)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4309
TRICIA LEIGHT CRNP
Nurse Practitioner
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 283-6666
MELISSE S MASER RN, CRNP
Nurse Practitioner (Family)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4699
DALE ORDEAN CRNP
Family Medicine
1 HOSPITAL WAY, FIRST FLOOR
BUTLER, PA 16001
Butler County (724) 431-0550
RICHARD THOMAS FILIAGGI DO
Pediatrics
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 285-0823
GABRIEL PATRICK ARMANDO PA-C
Physician Assistant
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 283-6666
DR. STEPHANIE L CLARK M.D.
Internal Medicine
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 285-0823
MADISON ANN BIGLEY PA-C
Physician Assistant (Medical)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4550

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 Bilal Rizvi's NPI number?

The NPI number for Bilal Rizvi is 1932414166. It was assigned to this individual provider in the NPPES registry on August 12, 2010.

Where is Bilal Rizvi located?

Bilal Rizvi practices at 1 Hospital Way, Butler, PA 16001. The listed phone number is (724) 285-0823.

What is Bilal Rizvi's specialty?

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

Is Bilal Rizvi enrolled in Medicare?

Yes. Bilal 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.

Which organizations bill Medicare for Bilal Rizvi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bilal Rizvi reassigns Medicare benefits to 3 organizations: Butler Medical Providers (Butler, PA), Heritage Valley Multispecialty Group, Inc. (Beaver, PA) and Excela Health Physician Practices, Inc. (Murrysville, PA). 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 Bilal Rizvi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bilal Rizvi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Bilal 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 Bilal Rizvi affiliated with any hospitals?

According to CMS data, Bilal Rizvi is affiliated with Heritage Valley Beaver, Magee Womens Hospital Of Upmc Health System, Excela Health Westmoreland Regional Hospital and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bilal Rizvi was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.