Individual provider Active NPI

Ahmed Raza, MD

  • Vascular Surgery Physician
  • Montgomery, AL
National Provider Identifier
1154859049
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD.49313 Issued in AL
Practice address
2055 E South Blvd Ste 503
Montgomery, AL 36116-2004
Phone
(334) 284-6500
Fax
(334) 284-6202
NPI assigned
May 23, 2017
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X MD.49313 AL
Vascular Surgery Physician 2086S0129X MD.49313 AL Primary

Addresses

Primary practice location

2055 E South Blvd Ste 503
Montgomery, AL 36116-2004

Mailing address

2055 E South Blvd Ste 503
Montgomery, AL 36116-2004
Phone (334) 284-6500

Other practice location 1

277 Huntress St
Wetumpka, AL 36092-3329
Phone (334) 284-6500

Other practice location 2

1501 Forest Ave
Montgomery, AL 36106-1539
Phone (334) 593-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20241010002484 AL Practitioner - Vascular Surgery 2062944424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Howard University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Vascular Surgery, P.C.Group PAC ID 0840210530, 7 clinicians

Practice addresses (Care Compare)

2055 E S Blvd
Suite 503
Montgomery, AL 36116-2004
Phone (334) 284-6500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)15
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Vascular Surgery, P.C. CurrentSince Oct 1, 2024 Accepting new patients

Locations

2055 E South Blvd
Ste 503
Montgomery, AL 36116
Phone (205) 284-6500

277 Huntress St
Ste 201
Wetumpka, AL 36092
Phone (334) 284-6500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1154859049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 503",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162004",
            "telephone_number": "334-284-6500",
            "fax_number": "334-284-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 503",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162004",
            "telephone_number": "334-284-6500",
            "fax_number": "334-284-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Huntress St",
            "address_purpose": "LOCATION",
            "city": "Wetumpka",
            "state": "AL",
            "postal_code": "360923329",
            "country_code": "US",
            "telephone_number": "334-284-6500",
            "fax_number": "334-284-6202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061539",
            "country_code": "US",
            "telephone_number": "334-593-7434",
            "fax_number": "334-593-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZA",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.49313",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "MD.49313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.