Individual provider Active NPI

Khushbu Raza

  • Internal Medicine Physician
  • Melville, NY
National Provider Identifier
1447870084
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
326027 Issued in NY
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

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206000231 NY Practitioner - Internal Medicine 6507215340 Reassigns benefits to 1 organization

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
Digestive Disease Care, PCGroup PAC ID 7113093071, 41 clinicians

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

OrganizationSpecialtyStatusNew patients
Digestive Disease Care, PC CurrentSince Oct 14, 2023 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.

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

Verify at the official NPI Registry.