Individual provider Active NPI

Naeem Raza, MD

  • Gastroenterology Physician
  • Richmond, IN
National Provider Identifier
1447214994
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01070885A Issued in IN
Practice address
1050 Reid Pkwy Ste 110
Reid Health Gastroenterology and Rheumatology
Richmond, IN 47374-1156
Phone
(765) 935-8923
Fax
(765) 935-8407
NPI assigned
Apr 13, 2006
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD417881 PA
Internal Medicine Physician 207R00000X MD417881 PA
Gastroenterology Physician 207RG0100X 01070885A IN Primary

Addresses

Primary practice location

1050 Reid Pkwy Ste 110
Reid Health Gastroenterology and Rheumatology
Richmond, IN 47374-1156

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8923

Other practice location 1

800 S Tillotson Ave
Muncie, IN 47304-4529
Phone (765) 281-2000

Other identifiers 2

IdentifierTypeStateIssuer
201066770MedicaidIN
001969948MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nraza337851@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120709000236 IN Practitioner - Gastroenterology 7517861859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1050 Reid Pkwy
Suite 120
Richmond, IN 47374-1156
Phone (765) 962-6053

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy228
Upper gastrointestinal (GI) endoscopy for acid reflux639

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD417881PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Reid Physician Associates, Inc. Internal Medicine CurrentSince May 20, 2019 Accepting new patients
Reid Physician Associates, Inc CurrentSince May 20, 2019 Accepting new patients
Good Samaritan Hospital Physician Services, Inc Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Good Samaritan Hospital CurrentSince Jul 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2401 W University Ave
Fl 8
Muncie, IN 47303
Phone (765) 282-5822

800 S Tillotson Ave
Muncie, IN 47304
Phone (765) 289-5410

1050 Reid Pkwy
Ste 110
Richmond, IN 47374
Phone (765) 935-8914

1050 Reid Pkwy
Ste 120
Richmond, IN 47374
Phone (765) 962-6053

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

1813 Willow St
Ste 5B
Vincennes, IN 47591
Phone (812) 882-2703

328 N 2nd St
Vincennes, IN 47591
Phone (812) 882-3312

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Interoperability endpoints

  • Direct secure messaging: nraza122197@direct.deaconess.com
  • Direct secure messaging: nraza337851@reidhealth.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1447214994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8923",
            "fax_number": "765-935-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PKWY STE 110",
            "address_2": "REID HEALTH GASTROENTEROLOGY AND RHEUMATOLOGY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741156",
            "telephone_number": "765-935-8923",
            "fax_number": "765-935-8407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Tillotson Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473044529",
            "country_code": "US",
            "telephone_number": "765-281-2000",
            "fax_number": "765-281-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZA",
        "first_name": "NAEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD417881",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD417881",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01070885A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201066770",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001969948",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nraza337851@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1050 Reid Pkwy Ste 110",
            "address_2": "Reid Health Gastroenterology and Rheumatology",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.