Individual provider Active NPI

Mahwish Raza, M.D.

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1467618132
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MT193941 Issued in PA
Practice address
111 Walnut Street
Philadelphia, PA 19107
Phone
(215) 955-6000
NPI assigned
Aug 1, 2008
Last updated
Aug 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MT193941 PA Primary

Addresses

Primary practice location

111 Walnut Street
Philadelphia, PA 19107

Mailing address

120 Laidlaw Ave
Jersey City, NJ 07306-2196
Phone (201) 936-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ2 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
I20111129000089 MA Practitioner - Anesthesiology 1658545868 Reassigns benefits to 4 organizations
I20161104000920 NJ Practitioner - Anesthesiology 1658545868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Anesthesia PCGroup PAC ID 8820136377, 52 clinicians

Practice addresses (Care Compare)

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7642

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT193941PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Steward Medical Group, Inc Anesthesiology CurrentSince Mar 6, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 30, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 6, 2023 Accepting new patients
Icon Anesthesia Services of New England LLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 13, 2016 Accepting new patients
Matrix Anesthesia, PC Anesthesiology CurrentSince Sep 26, 2011 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 30, 2023 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

Interoperability endpoints

  • Direct secure messaging: mahwish.raza@direct.hobokenumc.md
  • Direct secure messaging: mraza68962@direct.southcoast.org

Organizations & group practices 8

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 1

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1467618132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAIDLAW AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062196",
            "telephone_number": "201-936-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WALNUT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "MAHWISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT193941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.