NPIMap

Individual provider Active NPI

Syed Samar Raza, M.D.

  • Internal Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1285734715
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
235799 Issued in NY
Practice address
301 E Main St
Hospitalist Department - 3 Tower
Bay Shore, NY 11706-8408
Phone
(631) 968-3503
Fax
(631) 968-3716
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 235799 NY
Internal Medicine Physician 207R00000X 235799 NY Primary

Addresses

Primary practice location

301 E Main St
Hospitalist Department - 3 Tower
Bay Shore, NY 11706-8408

Mailing address

2 Dewberry CT
Dix Hills, NY 11746-5655
Phone (631) 433-0335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MD3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060130000577 NY Practitioner - Internal MedicinePractitioner - Hospitalist 3870507817 Reassigns benefits to 5 organizations
I20220823000173 NJ Practitioner - Internal Medicine 3870507817
I20220823000526 MD Practitioner - Internal Medicine 3870507817

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nightwatch Medicine PLLCGroup PAC ID 4880051366, 8 clinicians
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians

Practice addresses (Care Compare)

2 Dewberry CT
Dix Hills, NY 11746-5655
Phone (631) 433-0335

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Oasis Rehabilitation And Nursing, Llc Nursing home, Center Moriches, NY, CCN 335402
  • East Neck Nursing & Rehabilitation Center Nursing home, West Babylon, NY, CCN 335681
  • Carillon Nursing and Rehabilitation Center Nursing home, Huntington, NY, CCN 335286
  • Pine Forest Car Center for Rehab & Healthcare Nursing home, Huntington, NY, CCN 335040
  • Momentum at South Bay for Rehabilation and Nursing Nursing home, East Islip, NY, CCN 335401

Merit-based Incentive Payment System (MIPS)

Final score
20.71 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Aug 1, 2022 Accepting new patients
Southwest Suffolk Medical, P.C. CurrentSince Aug 1, 2022 Accepting new patients
Oasis Rehabilitation and Nursing LLC Past Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients
Hilaire Care Network LLC Past Accepting new patients
Cardiff Bay Center LLC Past Accepting new patients
Paljr LLC Past Accepting new patients
Hospitalist Medicine Physician of Broome County PLLC Internal Medicine Past Accepting new patients

Locations

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
Plandome, NY 11030

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

625 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (516) 473-4753

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 12

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 12

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1285734715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEWBERRY CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465655",
            "telephone_number": "631-433-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "address_2": "HOSPITALIST DEPARTMENT - 3 TOWER",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "631-968-3503",
            "fax_number": "631-968-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "middle_name": "SAMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "235799",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.