Individual provider Active NPI

Syed Muhammad Raza, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Riverview, MI
National Provider Identifier
1235106915
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4301088026 Issued in AL
Practice address
18025 Fort St
Riverview, MI 48193
Phone
(734) 283-5555
Fax
(734) 283-1600
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301088026 MI
Pulmonary Disease Physician 207RP1001X 4301088026 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301088026 AL Primary

Addresses

Primary practice location

18025 Fort St
Riverview, MI 48193

Mailing address

18025 Fort St
Riverview, MI 48193-7432
Phone (734) 283-5555

Other practice location 1

25500 Goddard Rd
Taylor, MI 48180-3926
Phone (734) 283-5555

Other practice location 2

26245 Southfield Rd
Lathrup Village, MI 48076-4546
Phone (734) 283-5555

Other identifiers 1

IdentifierTypeStateIssuer
1235106915MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAZABILLING@GMX.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070313000227 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4082680731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18025 Fort St
Riverview, MI 48193-7432
Phone (734) 283-5555

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088026ALMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S. Talib Raza, P.C. Pulmonary Disease CurrentSince Apr 30, 2003 Accepting new patients
Ccma-BT PLLC Critical Care Medicine CurrentSince Jan 3, 2017 Accepting new patients
Pulmonary & Critical Care Specialists, P.C. Critical Care Medicine Past Accepting new patients
University of South Alabama Health Services Foundation Past Accepting new patients
Canton Asthma & Allergy PC Past Accepting new patients
Sleep Diagnostics of Michigan PC PastSince May 1, 2001 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124
Phone (313) 271-5565

26245 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 327-7634

18025 Fort St
Riverview, MI 48193
Phone (734) 283-5555

23999 Northwestern Hwy
Ste 161
Southfield, MI 48075
Phone (248) 304-1100

25500 Goddard Rd
Taylor, MI 48180
Phone (313) 292-1300

Interoperability endpoints

  • Direct secure messaging: sraza248065@direct.hfhs.org

Organizations & group practices 7

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 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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1235106915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937432",
            "telephone_number": "734-283-5555",
            "fax_number": "734-283-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18025 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "48193",
            "telephone_number": "734-283-5555",
            "fax_number": "734-283-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25500 Goddard Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803926",
            "country_code": "US",
            "telephone_number": "734-283-5555",
            "fax_number": "734-283-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26245 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Lathrup Village",
            "state": "MI",
            "postal_code": "480764546",
            "country_code": "US",
            "telephone_number": "734-283-5555",
            "fax_number": "734-283-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "middle_name": "MUHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301088026",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301088026",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "4301088026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235106915",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAZABILLING@GMX.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18025 Fort St",
            "city": "Riverview",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.