Individual provider Active NPI

Raed F Tarazi, M.D.

  • Colon & Rectal Surgery Physician
  • Palmer, MA
National Provider Identifier
1477550622
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
1024634 Issued in MA
Practice address
40 Wright St
Palmer, MA 01069-1138
Phone
(413) 370-5400
Fax
(413) 284-5559
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 1024634 MA Primary
Surgery Physician 208600000X 34222 AZ

Addresses

Primary practice location

40 Wright St
Palmer, MA 01069-1138

Mailing address

PO Box 4023
Scottsdale, AZ 85261-4023
Phone (480) 835-5302

Other practice location 1

PO Box 4023
Scottsdale, AZ 85261-4023
Phone (480) 240-7391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MA2 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
I20050819000337 AZ Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 8628005980
I20250815002958 MA Practitioner - Colorectal Surgery (Proctology) 8628005980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

40 Wright St
Palmer, MA 01069-1138
Phone (413) 283-8761

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108223MOMDFamily Medicine Physician
1024634MAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Surgery CurrentSince Aug 8, 2025 Accepting new patients
Northeast Indiana Colon Rectal Surgeons PC Colon & Rectal Surgery Past Accepting new patients
Banner Cancer Center Specialists LLC PastSince Sep 1, 2024 Accepting new patients

Locations

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1477550622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4023",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852614023",
            "telephone_number": "480-835-5302",
            "fax_number": "480-844-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-370-5400",
            "fax_number": "413-284-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 4023",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852614023",
            "country_code": "US",
            "telephone_number": "480-240-7391",
            "fax_number": "480-914-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARAZI",
        "first_name": "RAED",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MA",
            "license": "1024634",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "34222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, MA

Sources for this page

Verify at the official NPI Registry.