Individual provider Active NPI

Rabia Rizwana, M.D.

  • Neurology Physician
  • Syracuse, NY
National Provider Identifier
1922254408
Registry record updated Feb 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
252652 Issued in NY
Practice address
1101 Erie Blvd E
Suite 204
Syracuse, NY 13210-1148
Phone
(315) 472-9554
Fax
(315) 472-9553
NPI assigned
Aug 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 252652 NY Primary
Clinical Neurophysiology Physician 2084N0600X 252652 NY

Addresses

Primary practice location

1101 Erie Blvd E
Suite 204
Syracuse, NY 13210-1148

Mailing address

1101 Erie Blvd E
Suite 204
Syracuse, NY 13210-1148
Phone (315) 472-9554

Other identifiers 1

IdentifierTypeStateIssuer
03117219MedicaidNY

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
I20090807000380 NY Practitioner - Neurology 1456404466 Practice locations: Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 Erie Blvd E
Suite 204
Syracuse, NY 13210-1144
Phone (315) 472-9554

1101 Erie E Blvd
Suite 204
Syracuse, NY 13210-1144

Hospital & facility affiliations

  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252652NYMDClinical Neurophysiology Physician

Hospital & facility affiliations 1

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297468800000",
    "number": "1922254408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ERIE BLVD E",
            "address_2": "SUITE 204",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101148",
            "telephone_number": "315-472-9554",
            "fax_number": "315-472-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ERIE BLVD E",
            "address_2": "SUITE 204",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101148",
            "telephone_number": "315-472-9554",
            "fax_number": "315-472-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZWANA",
        "first_name": "RABIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2011-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "252652",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "252652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03117219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.