Shahraiz Shah Rizvi, MD is a medicare enrolled "Internal Medicine" provider in Montgomery, Alabama. His current practice location is
2105 E South Blvd, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 288-2100.
Shahraiz Shah Rizvi is licensed to practice in Alabama (license number 44757) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649733197.
Healthcare Provider's Profile
Full Name | Shahraiz Shah Rizvi |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 2105 E South Blvd, Montgomery, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649733197
- Provider Enumeration Date: 04/11/2019
- Last Update Date: 09/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153650536
- Enrollment ID: I20230203001419
Medical Identifiers
Medical identifiers for Shahraiz Shah Rizvi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649733197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 44757 (Alabama) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | 44757 (Alabama) | Primary |
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. Shahraiz Shah Rizvi allows following entities to bill medicare on his behalf.
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
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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. Shahraiz Shah Rizvi 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 Address | Practice Location Address |
Shahraiz Shah Rizvi, MD 2105 E South Blvd, Montgomery, AL 36116-2409 Ph: (334) 288-2100 | Shahraiz Shah Rizvi, MD 2105 E South Blvd, Montgomery, AL 36116-2409 Ph: (334) 288-2100 |
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