Individual provider Active NPI

Qamar Raza, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1417992744
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N9942 Issued in TX
Practice address
255 Westlake Park Blvd
Houston, TX 77079-2649
Phone
(281) 310-5040
NPI assigned
Jun 19, 2006
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35070916R OH
Internal Medicine Physician 207R00000X N9942 TX Primary

Addresses

Primary practice location

255 Westlake Park Blvd
Houston, TX 77079-2649

Mailing address

255 Westlake Park Blvd
Houston, TX 77079-2649
Phone (281) 310-5040

Other identifiers 3

IdentifierTypeStateIssuer
P00109738OtherOHMEDICARE RR
000000317861OtherOHBCBS
2039538MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000878 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 3577464197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Westlake Park Blvd
Houston, TX 77079-2649
Phone (281) 310-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
35070916ROHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Texas Medical PA CurrentSince Oct 4, 2012 Accepting new patients
Premise Health of Texas Medical PA CurrentSince Oct 4, 2012 Accepting new patients
Utmb Faculty Group Practice Emergency Medicine CurrentSince Jun 25, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Springfield Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Preferred Primary Care Past Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

255 Westlake Park Blvd
Houston, TX 77079
Phone (281) 310-5040

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1417992744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WESTLAKE PARK BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792649",
            "telephone_number": "281-310-5040",
            "fax_number": "281-310-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WESTLAKE PARK BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792649",
            "telephone_number": "281-310-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "QAMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35070916R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00109738",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000317861",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.