Individual provider Active NPI

Syed Hasan Raza, MD

  • Internal Medicine Physician
  • Medina, NY
National Provider Identifier
1497715296
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207976 Issued in NY
Practice address
711 Park Avenue Building 1 Ste 202
Medina, NY 14103-1078
Phone
(585) 798-4108
Fax
(585) 798-4894
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207976 NY Primary

Addresses

Primary practice location

711 Park Avenue Building 1 Ste 202
Medina, NY 14103-1078

Mailing address

711 Park Avenue Building 1 Ste 202
Medina, NY 14103-1078
Phone (585) 798-4108

Other practice location 1

11780 Tibbits Rd
Medina, NY 14103-9724
Phone (585) 344-6729

Other identifiers 3

IdentifierTypeStateIssuer
P010000452OtherNYBLUE CHOICE
0409179OtherNYINDEPENDENT HEALTH
01689312MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130226000675 NY Practitioner - Internal Medicine 7214182146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orleans Community Health 20 clinicians

Practice addresses (Care Compare)

1038 Gwinn St
Medina, NY 14103-1740

14789 Route 31
Albion, NY 14411-9709
Phone (585) 589-2273

711 Park Ave
Suite 202
Medina, NY 14103-1078
Phone (585) 798-4108

Hospital & facility affiliations

  • Medina Memorial Hospital Hospital, Medina, NY, CCN 331319
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans Community Health CurrentSince Apr 29, 2019 Accepting new patients
Orleans Community Health CurrentSince Apr 29, 2019 Accepting new patients
Raza Medical Office PLLC Internal Medicine CurrentSince Dec 16, 2011 Accepting new patients

Locations

14789 State Route 31
Albion, NY 14411
Phone (585) 589-2273

1038 Gwinn St
Medina, NY 14103
Phone (585) 798-4108

711 Park Ave
Ste 202
Medina, NY 14103
Phone (585) 798-2550

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

Interoperability endpoints

  • Direct secure messaging: syed.raza@razamedicaloffice.chartmakerdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIBAED/Endpoint/CIBAED

Organizations & group practices 7

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 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1497715296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 PARK AVENUE BUILDING 1 STE 202",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031078",
            "telephone_number": "585-798-4108",
            "fax_number": "585-798-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 PARK AVENUE BUILDING 1 STE 202",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031078",
            "telephone_number": "585-798-4108",
            "fax_number": "585-798-4894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11780 Tibbits Rd",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "NY",
            "postal_code": "141039724",
            "country_code": "US",
            "telephone_number": "585-344-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "middle_name": "HASAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010000452",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0409179",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01689312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, NY

Sources for this page

Verify at the official NPI Registry.