Individual provider Active NPI

Saqib Razzaque, M.D

  • Hematology & Oncology Physician
  • El Centro, CA
National Provider Identifier
1437398591
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A127157 Issued in CA
Practice address
1271 Ross Ave
El Centro, CA 92243-4304
Phone
(760) 355-3030
NPI assigned
Feb 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A127157 CA Primary

Addresses

Primary practice location

1271 Ross Ave
El Centro, CA 92243-4304

Mailing address

PO Box 23058
San Diego, CA 92193-3058
Phone (612) 626-5031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20131030000257 CA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 2163692740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
S H Ahmed MD PHD IncGroup PAC ID 1052506987, 3 clinicians

Practice addresses (Care Compare)

1271 Ross Ave
El Centro, CA 92243-4304
Phone (760) 335-3030

Hospital & facility affiliations

  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342

Merit-based Incentive Payment System (MIPS)

Final score
38.83 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
56.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A127157CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S H Ahmed MD PHD Inc Hematology & Oncology CurrentSince Sep 13, 2013 Accepting new patients
S.Hasnat Ahmed, MD, Apc Hematology & Oncology PastSince Jun 14, 2020 Accepting new patients
H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Past Accepting new patients

Locations

1271 Ross Ave
El Centro, CA 92243
Phone (760) 335-3030

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1437398591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23058",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921933058",
            "telephone_number": "612-626-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434304",
            "telephone_number": "760-355-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZAQUE",
        "first_name": "SAQIB",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A127157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.