Active NPI
Nasser Razack, M.D.
- Diagnostic Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301081063
- Practice address
- 3990 John R St
Detroit, MI 48201-2018 - Phone
- (313) 745-5111
- Fax
- (313) 745-3500
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME92656 | FL | |
| Diagnostic Ultrasound Physician | 2085U0001X | ME92656 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 2023020198 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | ME92656 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 4301081063 | MI | Primary |
Addresses
Primary practice location
3990 John R St
Detroit, MI 48201-2018
Mailing address
PO Box 100374
Gainesville, FL 32610-0374
Phone (352) 265-0291
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0301 ext. 50301
Other practice location 2
3801 S National Ave
Springfield, MO 65807-5210
Phone (000) 000-0000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105114500 | Medicaid | FL | |
| 200125691 | Medicaid | MO | |
| 4301081063 | Other | MI | MI LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI, IL, NY, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035
335 31St St S
St Petersburg, FL 33712-1419
Phone (727) 289-7139
350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100
6101 Pine Ridge Rd
Naples, FL 34119-3900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Collier Hma Physician Management LLC | Current | Accepting new patients | |
| Collier Hma Physician Management LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Howard John Simon MD PC | Diagnostic Radiology | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Port Charlotte Hma Physician Management LLC | Current | Accepting new patients | |
| Howard Simon MD PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Bayfront Medical Center, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Innovative Imaging Associates, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 56)
8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000
155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800
9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000
6185 Paseo del Norte
Ste 110
Carlsbad, CA 92011
Phone (760) 494-0556
455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030
345 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 436-4155
499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065
108 Green Valley Rd
#B
Freedom, CA 95019
Phone (831) 476-7711
15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120
24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996
14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444
800 Pollard Rd
Ste B101
Los Gatos, CA 95032
Phone (406) 374-8897
665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800
105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165
1690 Barton Rd
Ste 107
Redlands, CA 92373
Phone (909) 307-1941
345 Convention Way
Ste 1-D
Redwood City, CA 94063
Phone (650) 299-9906
10111 Hole Ave
Riverside, CA 92503
Phone (650) 299-9906
225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000
8901 Activity Rd
Ste 103
San Diego, CA 92126
Phone (619) 354-4070
325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013
1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700
1005 Van Ness Ave
San Francisco, CA 94109
Phone (415) 229-7825
101 S San Mateo Dr
Ste 105
San Mateo, CA 94401
Phone (650) 343-1655
101 S San Mateo Dr
Ste 201
San Mateo, CA 94401
Phone (650) 343-1655
4144 Redwood Hwy
Ste B
San Rafael, CA 94903
Phone (415) 479-9907
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEJDBA/Endpoint/IEJDBA
Organizations & group practices 28
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.
-
- Internal Medicine Physician
- Naples, FL
- NPI 1245282979
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1003406711
-
- Vascular & Interventional Radiology Physician
- St Petersburg, FL
- NPI 1710260336
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
FL
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
FL
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- New York, NY
- NPI 1932768934
FL
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1659930998
FL
-
dba Ferrell-Duncan Clinic
- General Practice Physician
- Springfield, MO
- NPI 1760405864
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
dba Physicians Regiona Medical Center-Collier
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
dba Physicians Regional Medical Center-Pine Ridge
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1225141328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100374",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100374",
"telephone_number": "352-265-0291",
"fax_number": "352-265-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012018",
"telephone_number": "313-745-5111",
"fax_number": "313-745-3500"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-265-0301 x50301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 S National Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658075210",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAZACK",
"first_name": "NASSER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME92656",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "FL",
"license": "ME92656",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MO",
"license": "2023020198",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME92656",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301081063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105114500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200125691",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LICENSE",
"identifier": "4301081063",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.