Individual provider Active NPI

Ali Raza, M.D.,

  • Vascular & Interventional Radiology Physician
  • Largo, FL
National Provider Identifier
1457553075
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME103177 Issued in FL
Practice address
10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504
Phone
(901) 857-0370
NPI assigned
Jun 5, 2007
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E5129 AR
Vascular & Interventional Radiology Physician 2085R0204X ME103177 FL Primary

Addresses

Primary practice location

10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504

Mailing address

20110 Gulf Blvd Apt 400
Indian Shores, FL 33785-2452
Phone (901) 857-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090727000507 FL Practitioner - Interventional RadiologyPractitioner - Internal MedicinePractitioner - Diagnostic Radiology 5890848600 Reassigns benefits to 6 organizations
I20240212002436 IL Practitioner - Diagnostic Radiology 5890848600 Reassigns benefits to 3 organizations
I20260612001198 DC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5890848600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

10900 Seminole Blvd
Largo, FL 33778-3338
Phone (727) 517-1500

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

20110 Gulf Blvd
Apt 400
Indian Shores, FL 33785-2452
Phone (904) 399-5550

6000 49TH St N
Saint Petersburg, FL 33709-2114
Phone (727) 521-5078

7888 Lantana Creek Rd
Seminole, FL 33777-3043
Phone (904) 399-5550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5129ARMDDiagnostic Radiology Physician
ME103177FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Dec 4, 2017 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince May 16, 2015 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Sep 26, 2022 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Dec 30, 2023 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Dec 1, 2024 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince May 16, 2015 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Cook County Current Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Vymed Diagnostic Imaging Tampa LLC CurrentSince Jun 1, 2015 Accepting new patients
Cook County Diagnostic Radiology CurrentSince May 9, 2024 Accepting new patients
Nchmd Inc CurrentSince Dec 4, 2017 Accepting new patients
West Hernando Diagnostic and M.R. Center, Inc Diagnostic Radiology CurrentSince Sep 26, 2022 Accepting new patients
Cook County CurrentSince May 9, 2024 Accepting new patients
Saint Anthony Health Affiliates Vascular & Interventional Radiology CurrentSince Dec 1, 2024 Accepting new patients
Gateway Radiology Consultants PA Diagnostic Radiology CurrentSince May 1, 2015 Accepting new patients
Rad & More LLC Vascular & Interventional Radiology CurrentSince Apr 26, 2021 Accepting new patients
Gateway Radiology Consultants, P.a. CurrentSince May 1, 2015 Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Advanced Imaging of Port Charlotte Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients
Babat, Katz, and Samuelson MDS PA Diagnostic Radiology Past Accepting new patients

Locations (25 of 44)

3302 Bonita Beach Rd
Ste 170
Bonita Springs, FL 34134
Phone (239) 624-1050

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

7615 Jacque Rd
Hudson, FL 34667
Phone (727) 697-0100

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

10500 Ulmerton Rd
Ste 360
Largo, FL 33771
Phone (727) 517-1500

10900 Seminole Blvd
Largo, FL 33778
Phone (727) 517-1500

10900 Seminole Blvd
#2
Largo, FL 33778

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

15420 Collier Blvd
Naples, FL 34120
Phone (239) 624-0600

1715 Medical Blvd
Naples, FL 34110
Phone (239) 261-1121

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6400 Davis Blvd
Ste 101
Naples, FL 34104
Phone (239) 593-4200

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

800 Goodlette Rd
Ste 230
Naples, FL 34102
Phone (941) 434-2347

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

4800 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 522-1061

6600 66th St N
Ste B
Pinellas Park, FL 33781
Phone (727) 471-1000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

Organizations & group practices 26

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.

View all 26

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1457553075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20110 GULF BLVD APT 400",
            "city": "INDIAN SHORES",
            "state": "FL",
            "postal_code": "337852452",
            "telephone_number": "901-857-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD STE 360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713504",
            "telephone_number": "901-857-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "ALI",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E5129",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME103177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.