Dr Hammad Raza, MD - Medicare Hospitalist in Paoli, PA

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Dr Hammad Raza, MD is a medicare enrolled "Hospitalist" physician in Paoli, Pennsylvania. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Main Line Healthcare, Hammad Raza Pc and his current practice location is 255 W Lancaster Ave, Paoli, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 565-1510.

Dr Hammad Raza is licensed to practice in Pennsylvania (license number MD440322) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265694475.

Contact Information

Dr Hammad Raza, MD
255 W Lancaster Ave,
Paoli, PA 19301-1763
(484) 565-1510
(484) 565-1513

Map and Direction




Physician's Profile

Full NameDr Hammad Raza
GenderMale
SpecialityHospitalist
Experience26 Years
Location255 W Lancaster Ave, Paoli, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hammad Raza graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1265694475
  • Provider Enumeration Date: 06/29/2008
  • Last Update Date: 06/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4082739057
  • Enrollment ID: I20100914000757

Medical Identifiers

Medical identifiers for Dr Hammad Raza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265694475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist MD440322 (Pennsylvania)Primary
207R00000XInternal Medicine MD440322 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carlisle Regional Medical CenterCarlisle, PAHospital
Riddle Memorial HospitalMedia, PAHospital
Fox Subacute At MechanicsburgMechanicsburg, PANursing home
Fox Subacute At South PhiladelphiaPhiladelphia, PANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Line Healthcare1951215201907
Hammad Raza Pc95374277458

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Hammad Raza allows following entities to bill medicare on his behalf.
Entity NameClinical Care Associates Of The University Of Pennsylvania Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972682995
PECOS PAC ID: 4688588866
Enrollment ID: O20031113000301
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180
Entity NameAbington Memorial Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1770508319
PECOS PAC ID: 3274437736
Enrollment ID: O20051017000570
Entity NameHammad Raza Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164932836
PECOS PAC ID: 9537427745
Enrollment ID: O20171218000313

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hammad Raza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Hammad Raza, MD
255 W Lancaster Ave,
Paoli, PA 19301-1763

Ph: (484) 565-1510		Dr Hammad Raza, MD
255 W Lancaster Ave,
Paoli, PA 19301-1763

Ph: (484) 565-1510

Reviews and Comments


Hospitalist Doctors in Paoli, PA

Arun Minupuri, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 255 W Lancaster Ave, Paoli, PA 19301
Phone: 484-565-1510    
Bilal Arshad Mannan, M.D.
Hospitalist
Medicare: May Accept Medicare Assignments
Practice Location: 255 W Lancaster Ave, Paoli, PA 19301
Phone: 484-565-1510    
Robin Alsher, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 255 W Lancaster Ave, Paoli, PA 19301
Phone: 484-565-1510    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.