Individual provider Active NPI

Syed Musa Raza

  • Gastroenterology Physician
  • Shreveport, LA
National Provider Identifier
1295211563
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
59554 Issued in KY
Practice address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-0434
NPI assigned
Jul 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 59554 KY Primary

Addresses

Primary practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240910004605 IN Practitioner - Gastroenterology 4688928344 Reassigns benefits to 1 organization
I20241008001730 KY Practitioner - Gastroenterology 4688928344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Suite G
Henderson, KY 42420-2783
Phone (812) 426-9545

4219 Gateway Blvd
Newburgh, IN 47630-7925
Phone (812) 426-9545

Hospital & facility affiliations

  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Methodist Hospital Union County Hospital, Morganfield, KY, CCN 181306
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

Merit-based Incentive Payment System (MIPS)

Final score
96.34 of 100Reported as apm
Quality
88.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Upper gastrointestinal (GI) endoscopy for acid reflux191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59554KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc CurrentSince Sep 1, 2024 Accepting new patients
Deaconess Clinic Inc. Gastroenterology Current Accepting new patients
Deaconess Clinic Inc CurrentSince Sep 1, 2024 Accepting new patients
Deaconess Clinic, Inc Current Accepting new patients
Deaconess Clinic Inc Gastroenterology CurrentSince Sep 1, 2024 Accepting new patients
Deaconess Clinic, Inc Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4219 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9545

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1305 N Elm St
Ste G
Henderson, KY 42420
Phone (270) 826-0002

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

4551 Springhill Dr
Owensboro, KY 42303
Phone (270) 215-3199

Interoperability endpoints

  • Direct secure messaging: sraza502280@direct.deaconess.com

Organizations & group practices 6

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 5

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1295211563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "middle_name": "MUSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "59554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.