Shahnila Raza, MD
Individual provider Active NPI Internal Medicine Physician · Southhaven, MS
NPI 1427233196 · NPPES record last updated Nov 20, 2019
Key facts
- NPI
- 1427233196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 21380 (MS)
- Practice address
- 7601 Southcrest Parkway
Southhaven, MS 38671-4739 - Phone
- (662) 772-2980
- Fax
- (662) 772-2960
- NPI assigned
- Dec 31, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Memorial Medical Group, Inc.
Southeastern Physician Services PC
Practice addresses (Care Compare)
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
Hospital & facility affiliations
- Baptist Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110301000604 | MS | Practitioner - Internal Medicine | 3779764469 | Reassigns benefits to 1 organization |
| I20180705000777 | TN | Practitioner - Internal Medicine | 3779764469 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21380 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Baptist Memorial Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Baptist Memorial Hospital | Past | Accepting new patients |
Locations
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21380 | MS | Yes |
Addresses
Primary practice location
7601 Southcrest Parkway
Southhaven, MS 38671-4739
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Other providers in Southhaven, MS
- Desoto Pediatric Extended Care LLC
- Dr. Mark Lynn & Associates, PLLC
- Endocrine Diabetes & Thyroid Center PLLC
- Nuray Metin
- Vaishnavi Akshay Patel
- Gemetric T. Taylor
All providers in Southhaven, MS · Internal Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.