Individual provider Active NPI

Syed T Raza, MD

  • Interventional Cardiology Physician
  • New Albany, IN
National Provider Identifier
1104847862
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01055970A Issued in IN
Practice address
1919 State Street
Suite 302
New Albany, IN 47150-6806
Phone
(812) 542-1880
Fax
(812) 542-1891
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01055970A IN
Cardiovascular Disease Physician 207RC0000X 32779 KY
Interventional Cardiology Physician 207RI0011X 32779 KY
Interventional Cardiology Physician 207RI0011X 01055970A IN Primary

Addresses

Primary practice location

1919 State Street
Suite 302
New Albany, IN 47150-6806

Mailing address

PO Box 950103
Louisville, KY 40295-0103
Phone (812) 542-1880

Other identifiers 11

IdentifierTypeStateIssuer
7693352OtherKYAETNA
7959861OtherKYCIGNA
000000482692OtherKYANTHEM BCBS
1187455OtherKYCHA
200366430MedicaidIN
2751206000OtherKYPASSPORT ADVANTAGE
299856OtherFEDERAL BLACK LUNG PROGRA
64045966MedicaidKY
012970OtherSIHO
P00342895OtherKYRAILROAD MEDICARE
50011228OtherKYPASSPORT HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sraza8444@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061229000246 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678570587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550

1919 State St
Suite 104
New Albany, IN 47150-6802
Phone (812) 542-4921

313 Federal Dr NW
Suite 30
Corydon, IN 47112-3095
Phone (812) 734-3954

41 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (812) 282-1617

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314
  • Harrison County Hospital Hospital, Corydon, IN, CCN 151331
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32779KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Uma Primary Care, LLC Current Accepting new patients
Preferred Cardiology of Kentuckiana LLC Cardiovascular Disease Past Accepting new patients
Norton Clark Physician Practices, LLC Past Accepting new patients
Kentuckiana Heart Doctors Inc Interventional Cardiology PastSince Oct 1, 2008 Accepting new patients
University Physicians Group - Radiology Past Accepting new patients
Cardiovascular Specialists PSC Cardiovascular Disease Past Accepting new patients

Locations

313 Federal Dr NW
Ste 150
Corydon, IN 47112
Phone (502) 589-7907

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1919 State St
Ste 104
New Albany, IN 47150
Phone (812) 944-2663

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3402/brand/1/csg/1/fhir/r4

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 7

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1104847862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950103",
            "telephone_number": "812-542-1880",
            "fax_number": "812-542-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE STREET",
            "address_2": "SUITE 302",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506806",
            "telephone_number": "812-542-1880",
            "fax_number": "812-542-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01055970A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "32779",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "32779",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01055970A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7693352",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7959861",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000482692",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1187455",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200366430",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2751206000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROGRA",
            "identifier": "299856",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64045966",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "012970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00342895",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50011228",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sraza8444@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1919 State St Ste 104",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471506802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.