Individual provider Active NPI

Raza M Shariff, MD

  • Surgery Physician
  • Uncasville, CT
National Provider Identifier
1154610020
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
76704 Issued in CT
Practice address
80 Norwich New London Tpke
Uncasville, CT 06382-2527
Phone
(860) 425-8740
NPI assigned
Mar 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15733 NH
Surgery Physician 208600000X MD442217 PA
Surgery Physician 208600000X 76704 CT Primary

Addresses

Primary practice location

80 Norwich New London Tpke
Uncasville, CT 06382-2527

Mailing address

PO Box 1327
Laconia, NH 03247-1327
Phone (603) 524-3211

Other practice location 1

246 Pleasant St Ste 205
Concord, NH 03301-7546
Phone (603) 224-0584

Other practice location 2

85 Spring Street
Weight Institute of New Hampshire
Laconia, NH 03246-3113
Phone (603) 527-2947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240216003770 CT Practitioner - General Surgery 4385822527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

100 Perkins Farm Dr
Suite 301
Mystic, CT 06355-4041
Phone (860) 572-5400

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76704CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Mar 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

100 Perkins Farm Dr
Ste 301
Mystic, CT 06355
Phone (860) 572-5400

100 Perkins Farm Dr
Mystic, CT 06355
Phone (860) 572-5455

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

80 Norwich New London Tpke
Uncasville, CT 06382
Phone (860) 425-8740

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

5 Founders St
Ste 102
Willimantic, CT 06226
Phone (860) 423-5000

Interoperability endpoints

  • Direct secure messaging: rshariff522772@xdr.hhchealthdirect.org

Organizations & group practices 2

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 4

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": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1154610020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-524-3211",
            "fax_number": "603-527-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NORWICH NEW LONDON TPKE",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822527",
            "telephone_number": "860-425-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Pleasant St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017546",
            "country_code": "US",
            "telephone_number": "603-224-0584",
            "fax_number": "603-227-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Spring Street",
            "address_2": "Weight Institute of New Hampshire",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463113",
            "country_code": "US",
            "telephone_number": "603-527-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARIFF",
        "first_name": "RAZA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "15733",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD442217",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "76704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.