NPIMap

Individual provider Active NPI

Syma Hasan Rizvi, PA

  • Physician Assistant
  • Pikesville, MD
National Provider Identifier
1992989164
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003654 Issued in MD
Practice address
1838 Greene Tree Rd Ste 135
Pikesville, MD 21208-7108
Phone
(443) 471-0467
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003654 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd Ste 135
Pikesville, MD 21208-7108

Mailing address

1838 Greene Tree Rd Ste 135
Pikesville, MD 21208-7108
Phone (443) 471-0467

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address syma.rizvi.p2@direct.clinicalassociates.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090925000003 DC Practitioner - Physician Assistant 8022164524
I20120111000028 MD Practitioner - Physician Assistant 8022164524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Associates P aGroup PAC ID 1254631005, 44 clinicians

Practice addresses (Care Compare)

120 Westminister Pike
Reisterstown, MD 21136-1027
Phone (410) 526-7800

1838 Greene Tree Rd
Pikesville, MD 21208-7108
Phone (443) 471-0460

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Vna of Maryland Home health agency, Owings Mills, MD, CCN 217008
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
80.72
Promoting interoperability
79
Improvement activities
40
Cost
76.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003654MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates PA CurrentSince Mar 1, 2020 Accepting new patients
Grace Medical Center, Inc. CurrentSince Jun 23, 2012 Accepting new patients
Grace Medical Center, Inc. CurrentSince Jun 23, 2012 Accepting new patients
West Baltimore Emergency Medicine Physicians, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

1838 Greene Tree Rd
Ste 135
Pikesville, MD 21208
Phone (443) 471-0460

Interoperability endpoints

  • Direct secure messaging: syma.rizvi.p2@direct.clinicalassociates.nextgenshare.com

Organizations & group practices 9

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 3

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1992989164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 135",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087108",
            "telephone_number": "443-471-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 135",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087108",
            "telephone_number": "443-471-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "SYMA",
        "middle_name": "HASAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syma.rizvi.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1838 Greene Tree Rd Ste 135",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212087108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.