Active NPI
Ahmad Raza, MD
- Hematology & Oncology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 300472
- Practice address
- 6363 France Ave S Ste 610
Edina, MN 55435-2144 - Phone
- (952) 836-2600
- NPI assigned
- Apr 6, 2007
- Last updated
- Sep 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51630 | MN | |
| Internal Medicine Physician | 207R00000X | 35.89191 | OH | |
| Internal Medicine Physician | 207R00000X | 300472 | NY | |
| Hematology & Oncology Physician | 207RH0003X | 51630 | MN | |
| Hematology & Oncology Physician | 207RH0003X | 300472 | NY | Primary |
| Hospitalist Physician | 208M00000X | 35.89191 | OH |
Addresses
Primary practice location
6363 France Ave S Ste 610
Edina, MN 55435-2144
Mailing address
5205 Kimberly LN N
Plymouth, MN 55446-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2766510 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300472 | NY | MD | Registered Nurse |
| 51630 | MN | MD | Hematology & Oncology Physician |
| 35.89191 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Incare LLC | Internal Medicine | Past | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1978 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 293-8450
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369
Interoperability endpoints
- ahr9007@direct.nyp.org
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.
-
dba NewYork-Presbyterian Medical Group/Hudson Valley
- Specialist
- Yorktown Heights, NY
- NPI 1225222953
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1679754998
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Newyork-Presbyterian Medical Group/Hudson Valley
- Multi-Specialty Clinic/Center
- Cortlandt Manor, NY
- NPI 1982109120
-
- Internal Medicine Physician
- Berwick, PA
- NPI 1457377178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1598887895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 KIMBERLY LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554461441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 FRANCE AVE S STE 610",
"city": "EDINA",
"state": "MN",
"postal_code": "554352144",
"telephone_number": "952-836-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZA",
"first_name": "AHMAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "51630",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.89191",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "300472",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MN",
"license": "51630",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "300472",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.89191",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2766510",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.