Active NPI
Khushbu Raza
- Internal Medicine Physician
- Melville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 326027
- Practice address
- 150 Broadhollow Rd
Melville, NY 11747-4905 - Phone
- (631) 450-1400
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 326027 | NY | Primary |
Addresses
Primary practice location
150 Broadhollow Rd
Melville, NY 11747-4905
Mailing address
150 Broadhollow Rd
Melville, NY 11747-4905
Phone (631) 450-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (516) 750-8000
137 Willis Ave
Mineola, NY 11501-2677
Phone (516) 750-8000
380 S Broadway
Hicksville, NY 11801-5033
Phone (516) 750-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Care, PC | Current | Accepting new patients |
Locations
380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000
150 Broadhollow Rd
Melville, NY 11747
Phone (631) 549-6994
150 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 450-1400
137 Willis Ave
Ste 110
Mineola, NY 11501
Phone (516) 741-8822
11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- East Setauket, NY
- NPI 1184871774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1447870084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474905",
"telephone_number": "631-450-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474905",
"telephone_number": "631-450-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZA",
"first_name": "KHUSHBU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2024-02-21",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "326027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.