Individual provider Active NPI

Adeel Raza, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
National Provider Identifier
1275895922
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
Q0690 Issued in TX
Practice address
4770 Regent Blvd
Irving, TX 75063-2445
Phone
(972) 934-4300
Fax
(972) 455-1212
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Q0690 TX Primary

Addresses

Primary practice location

4770 Regent Blvd
Irving, TX 75063-2445

Mailing address

14275 Midway Rd Ste 400
Addison, TX 75001-3676
Phone (972) 934-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150808015701 TX Practitioner - Pathology 1759695406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NTX Pathology Program, PLLCGroup PAC ID 1850722919, 23 clinicians

Practice addresses (Care Compare)

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-4524

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
72.17
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0690TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NTX Pathology Program, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Nov 16, 2023 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Aug 7, 2017 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Aug 7, 2017 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7777 Forest Ln
Ste C400
Dallas, TX 75230
Phone (972) 566-3900

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663

2709 Hospital Blvd
Grand Prairie, TX 75051
Phone (469) 999-0000

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 4

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275895922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013676",
            "telephone_number": "972-934-4300",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 REGENT BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632445",
            "telephone_number": "972-934-4300",
            "fax_number": "972-455-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "ADEEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "Q0690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.