Raza Afzal
Individual provider Active NPI Internal Medicine Physician · Millersville, MD
NPI 1376679837 · NPPES record last updated Jan 13, 2015
Key facts
- NPI
- 1376679837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- C0003755 (MD)
- Practice address
- 8601 Veterans Hwy
Suite 211
Millersville, MD 21108-1547 - Phone
- (410) 553-8090
- Fax
- (410) 553-8090
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Luminis Health Medical Group, LLC
University of Maryland Community Medical Group Inc
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000
313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222
3708 Mountain Rd
Pasadena, MD 21122-2025
Phone (410) 553-2900
Hospital & facility affiliations
- Medstar Health Home Care
- Bayada Home Health Care, Inc.
- Luminis Health Anne Arundel Medical Center, Inc
- University of MD Baltimore Washington Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090908000423 | MD | Practitioner - Internal Medicine | 9830244268 | Reassigns benefits to 3 organizations |
| I20120808000199 | DC | Practitioner - Internal Medicine | 9830244268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003755 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Internal Medicine | Current |
Accepting new patients |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Internal Medicine | Past | Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
7556 Teague Rd
Ste 450
Hanover, MD 21076
Phone (410) 553-2900
8601 Veterans Hwy
Ste 211
Millersville, MD 21108
Phone (410) 729-2400
8601 Veterans Hwy
Ste 111
Millersville, MD 21108
Phone (410) 553-8090
Interoperability endpoints
- rafzal78293@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C0003755 | MD | Yes |
Addresses
Primary practice location
8601 Veterans Hwy
Suite 211
Millersville, MD 21108-1547
Mailing address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4594
Other providers in Millersville, MD
- Brianna Adams
- Najah Nicole Adona
- Advanced Hyperbaric Oxygen
- Advanced Hyperbarics LLC
- Advanced Radiology P a
- Ifeoma Obianuju Agemba
- Aging Grace LLC
- Grace Toluwalope Ajisafe
- Gladys N Akanoh
- Abdullah Mohammed Al Sayyab
All providers in Millersville, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.