Individual provider Active NPI

Raza Shah, M.D.

  • Ophthalmology Physician
  • Olney, MD
National Provider Identifier
1205098910
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO070196 Issued in MD
Practice address
2919 Olney Sandy Spring Rd Ste D
Olney, MD 20832
Phone
(301) 876-4900
Fax
(240) 483-4493
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DO070196 MD Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD046226 DC
Internal Medicine Physician 207R00000X MT193230 PA
Ophthalmology Physician 207W00000X 47350 AZ
Retina Specialist (Ophthalmology) Physician 207WX0107X 26983 WV
Retina Specialist (Ophthalmology) Physician 207WX0107X MD455997 PA

Addresses

Primary practice location

2919 Olney Sandy Spring Rd Ste D
Olney, MD 20832

Mailing address

2919 Olney Sandy Spring Rd Ste D
Olney, MD 20832-1589
Phone (301) 876-4900

Other identifiers 3

IdentifierTypeStateIssuer
D0070196OtherMDMEDICAL BOARD
MD046226OtherDCMEDICAL BOARD
MT193230OtherMEDICAL TRAINING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150901002424 MD Practitioner - Ophthalmology 1557500576 Reassigns benefits to 4 organizations
I20180302000969 DC Practitioner - Ophthalmology 1557500576 Reassigns benefits to 2 organizations
I20260508001834 NH Practitioner - General Practice 1557500576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2919 Olney Sandy Spring Rd
Suite D
Olney, MD 20832-1589
Phone (301) 876-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT193230PAMDInternal Medicine Physician
47350AZMDOphthalmology Physician
DO070196MDMDOphthalmology Physician
MD046226DCMDRetina Specialist (Ophthalmology) Physician
26983WVMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Retina Institute LLC Retina Specialist CurrentSince Jan 1, 2018 Accepting new patients
Sinai Hospital of Baltimore Inc Ophthalmology CurrentSince Oct 1, 2016 Accepting new patients
Ludwick Laser & Surgery Center, LLC CurrentSince Oct 1, 2016 Accepting new patients
Maryland Retina Institute LLC Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Oct 1, 2016 Accepting new patients
University of Maryland Eye Associates, P.a. Ophthalmology CurrentSince Aug 23, 2018 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Aug 23, 2018 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

2411 W Belvedere Ave
#6T
Baltimore, MD 21215
Phone (410) 601-6480

2411 W Belvedere Ave
Fl 5
Baltimore, MD 21215
Phone (410) 601-5700

2919 Olney Sandy Spring Rd
Ste D
Olney, MD 20832
Phone (301) 876-4900

10212 Governor Lane Blvd
Unit 1004
Williamsport, MD 21795
Phone (301) 733-4200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rshah538220@direct.umm.edu

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1205098910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 OLNEY SANDY SPRING RD STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321589",
            "telephone_number": "301-876-4900",
            "fax_number": "240-483-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 OLNEY SANDY SPRING RD STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-876-4900",
            "fax_number": "240-483-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "DO070196",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD046226",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT193230",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "47350",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WV",
            "license": "26983",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD455997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "D0070196",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "MD046226",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRAINING",
            "identifier": "MT193230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.