Active NPI
Imran Raza, MD
- Family Medicine Physician
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2010-0103
- Practice address
- 3320 Rinconada Blvd
Ste 2
Las Cruces, NM 88011-7198 - Phone
- (575) 532-1111
- Fax
- (575) 532-1122
- NPI assigned
- Feb 21, 2008
- Last updated
- Oct 21, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2010-0103 | NM | Primary |
Addresses
Primary practice location
3320 Rinconada Blvd
Ste 2
Las Cruces, NM 88011-7198
Mailing address
3320 Rinconada Blvd
Ste 2
Las Cruces, NM 88011-7198
Phone (575) 532-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42488371 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3320 Rinconada Blvd
Suite 2
Las Cruces, NM 88011-7199
Phone (575) 532-1111
Hospital & facility affiliations
- Ambercare Home Health
- Tender Care Home Health
- Enhabit Home Health
- Sierra Home Care
- Memorial Medical Center
- Mountain View Regional Medical Center
- Three Crosses Regional Hospital LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2010-0103 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces Family Medicine LLC | Family Medicine | Current | Accepting new patients |
Locations
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
2930 Hillrise Dr
Ste 2
Las Cruces, NM 88011
Phone (575) 532-1111
3320 Rinconada Blvd
Ste 2
Las Cruces, NM 88011
Phone (575) 532-1111
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1700197001
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ambercare Home Health
- Home Health Agency
- Las Cruces, NM
- NPI 1609039833
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
dba Sierra Home Care and Hospice
- Home Health Agency
- Las Cruces, NM
- NPI 1184693665
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1336318591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 RINCONADA BLVD",
"address_2": "STE 2",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117198",
"telephone_number": "575-532-1111",
"fax_number": "575-532-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 RINCONADA BLVD",
"address_2": "STE 2",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117198",
"telephone_number": "575-532-1111",
"fax_number": "575-532-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZA",
"first_name": "IMRAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-21",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2010-0103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42488371",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.