Individual provider Active NPI

Raza Mushtaq, MD

  • Neuroradiology Physician
  • Lakeway, TX
National Provider Identifier
1700271285
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
56994 Issued in AZ
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

Updated by the provider on Oct 18, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20201016000970 AZ Practitioner - Diagnostic Radiology 4082964044 Reassigns benefits to 7 organizations
I20250618000264 TX Practitioner - Diagnostic RadiologyPractitioner - Neurology 4082964044 Reassigns benefits to 2 organizations
I20250924003329 FL Practitioner - Diagnostic Radiology 4082964044 Reassigns benefits to 1 organization

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
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
Southwest Neuro-Imaging LTDGroup PAC ID 2062497761, 8 clinicians
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

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

LicenseStateTypeSpecialty
ME174062FLMDDiagnostic Radiology Physician
V6653TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 30, 2020 Accepting new patients
Scott & White Clinic Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Nov 30, 2020 Accepting new patients
Banner Imaging Services LLC CurrentSince Jun 21, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jun 10, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 30, 2020 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 CurrentSince Jun 21, 2024 Accepting new patients
Scott & White Clinic Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Banner-University Medical Group Diagnostic Radiology Current Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2025 Accepting new patients
Peterson Medical Associates CurrentSince Sep 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Nov 30, 2020 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Sep 1, 2025 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 PastSince Apr 20, 2026 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

  • Direct secure messaging: 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.

View all 23

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.