NPIMap

Individual provider Active NPI

Sakeena Raza, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Riverside, RI
National Provider Identifier
1609027697
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD15282 Issued in RI
Practice address
375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2212
Phone
(401) 649-4010
Fax
(401) 649-4011
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 929522324 AR
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD15282 RI Primary

Addresses

Primary practice location

375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2212

Mailing address

17 Virginia Ave
Suite 107
Providence, RI 02905-4406
Phone (401) 443-4992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160527001014 RI Practitioner - Geriatric Medicine 4183867716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4050

375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4000

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4741

593 Eddy St
Apc 138
Providence, RI 02903-4900
Phone (401) 444-5435

Hospital & facility affiliations

  • Concord Health Services Home health agency, Cranston, RI, CCN 417049
  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Visiting Nurse Home and Hospice Home health agency, Middleton, RI, CCN 417000
  • Hopehealth Hospice & Palliative Care Hospice, Providence, RI, CCN 411500
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Tockwotton on the Waterfront Nursing home, East Providence, RI, CCN 415113
  • Saint Elizabeth Home East Greenwich Nursing home, East Greenwich, RI, CCN 415010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
929522324ARMDInternal Medicine Physician
MD15282RIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Medicine CurrentSince Jul 1, 2016 Accepting new patients
Rhode Island Hospital CurrentSince Mar 26, 2018 Accepting new patients
Rhode Island Hospital CurrentSince Mar 26, 2018 Accepting new patients
Brown Medicine Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Jan 28, 2026 Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Jan 28, 2026 Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

593 Eddy St
#138
Providence, RI 02903
Phone (401) 444-5291

17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923

593 Eddy St
Providence, RI 02903

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

375 Wampanoag Trl
Ste 102
Riverside, RI 02915
Phone (401) 649-4010

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1609027697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VIRGINIA AVE",
            "address_2": "SUITE 107",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054406",
            "telephone_number": "401-443-4992",
            "fax_number": "401-784-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152212",
            "telephone_number": "401-649-4010",
            "fax_number": "401-649-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SAKEENA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "929522324",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "MD15282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.