Active NPI
Raza Mushtaq, MD
- Neuroradiology Physician
- Lakeway, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 56994
- Practice address
- 200 Medical Pkwy Ste 310
Lakeway, TX 78738-1794 - Phone
- (512) 654-0300
- NPI assigned
- Apr 1, 2015
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 56994 | AZ | |
| Neuroradiology Physician | 2085N0700X | 56994 | AZ | Primary |
| Neuroradiology Physician | 2085N0700X | ME174062 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME174062 | FL | |
| Neuroradiology Physician | 2085N0700X | V6653 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | V6653 | TX |
Addresses
Primary practice location
200 Medical Pkwy Ste 310
Lakeway, TX 78738-1794
Mailing address
PO Box 44037
Phoenix, AZ 85064-4037
Phone (602) 954-6228
Other practice location 1
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (800) 465-3203
Other practice location 2
PO Box 44037
Phoenix, AZ 85064-4037
Phone (602) 954-6228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Mesa, AZ 85207
Phone (317) 614-9620
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111
2577 E Beechnut CT
Chandler, AZ 85249-3514
Phone (855) 687-7237
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 954-6228
4200 E Camelback Rd
Suite 105
Phoenix, AZ 85018-2718
Phone (480) 610-7400
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME174062 | FL | MD | Diagnostic Radiology Physician |
| V6653 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Scott & White Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Mt Graham Regional Medical Center Inc | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner Imaging Services LLC | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Scott & White Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Banner Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Scott & White Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Banner-University Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Btdi JV, LLP | Current | Accepting new patients | |
| Peterson Medical Associates | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| Associated Valley Radiologists LTD | Diagnostic Radiology | Past | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients | |
| Sanford Clinic | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 36)
1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729
1828 E Florence Blvd
Ste B118
Casa Grande, AZ 85122
1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198
5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420
1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624
6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018
2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165
9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652
1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000
13909 W Camino del Sol
Ste 101
Sun City West, AZ 85375
Phone (623) 544-7300
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
4291 N Campbell Ave
Tucson, AZ 85719
Phone (520) 425-8900
3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100
700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000
5330 Overpass Rd
Ste 110
Buda, TX 78610
Phone (737) 999-6200
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
900 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 684-4000
Interoperability endpoints
- rmushtaq1435251@direct.sw.org
Organizations & group practices 23
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.
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
-
- Diagnostic Radiology Physician
- Sun City, AZ
- NPI 1770139958
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Diagnostic Radiology
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
- Neuroradiology Physician
- Phoenix, AZ
- NPI 1679549190
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Diagnostic Radiology
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
-
dba Touchstone Imaging Stone Oak
- Physiological Laboratory
- San Antonio, TX
- NPI 1194117853
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Nacogdoches Medical Center
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1922660182
Hospital
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park
- Emergency Care Clinic/Center
- Litchfield Park, AZ
- NPI 1265065445
Hospital
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Glendale
- Emergency Care Clinic/Center
- Glendale, AZ
- NPI 1609408665
Hospital
-
dba St. Joseph's Hospital and Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
dba St. Joseph's Westgate Medical Center
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760745600000",
"number": "1700271285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44037",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850644037",
"telephone_number": "602-954-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PKWY STE 310",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787381794",
"telephone_number": "512-654-0300"
}
],
"practiceLocations": [
{
"address_1": "1625 N Campbell Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857194330",
"country_code": "US",
"telephone_number": "800-465-3203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PO Box 44037",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850644037",
"country_code": "US",
"telephone_number": "602-954-6228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSHTAQ",
"first_name": "RAZA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-01",
"last_updated": "2025-10-18",
"certification_date": "2025-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "56994",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "AZ",
"license": "56994",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "FL",
"license": "ME174062",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME174062",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TX",
"license": "V6653",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "V6653",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.