Individual provider Active NPI

Hashim Raza, MD

  • Nephrology Physician
  • White Oak, PA
National Provider Identifier
1780675447
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD049441L Issued in PA
Practice address
1303 Lincoln Way
Suite B
White Oak, PA 15131-1603
Phone
(412) 673-7745
Fax
(412) 673-7746
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 MD049441L PA
Nephrology Physician 207RN0300X MD049441L PA Primary

Addresses

Primary practice location

1303 Lincoln Way
Suite B
White Oak, PA 15131-1603

Mailing address

1303 Lincoln Way
Suite B
White Oak, PA 15131-1603
Phone (412) 673-7745

Other identifiers 1

IdentifierTypeStateIssuer
01566882MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040210000211 PA Practitioner - Internal MedicinePractitioner - Nephrology 0446144653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1303 Lincoln Way
Suite B
White Oak, PA 15131-1603

1668 Lincoln Way
Suite C
White Oak, PA 15131-1714
Phone (412) 673-7745

Hospital & facility affiliations

  • DaVita Lincoln Way Dialysis Dialysis facility, White Oak, PA, CCN 392719
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Upmc McKeesport Hospital Hospital, MC Keesport, PA, CCN 390002
  • Upmc East Hospital, Monroeville, PA, CCN 390328

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal and Hypertension Consultants LLC Nephrology CurrentSince Jan 1, 2012 Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients
Hashim Raza MD Nephrology PastSince Feb 15, 1996 Accepting new patients
Total Renal Care Inc PastSince Jan 1, 2011 Accepting new patients

Locations

2566 Haymaker Rd
Ste 206
Monroeville, PA 15146
Phone (412) 373-8040

1303 Lincoln Way
Ste B
White Oak, PA 15131
Phone (412) 257-5100

1668 Lincoln Way
Ste C
White Oak, PA 15131
Phone (412) 673-7745

Interoperability endpoints

  • Direct secure messaging: hraza11316@direct.ahn.org

Organizations & group practices 4

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 7

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1780675447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 LINCOLN WAY",
            "address_2": "SUITE B",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311603",
            "telephone_number": "412-673-7745",
            "fax_number": "412-673-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 LINCOLN WAY",
            "address_2": "SUITE B",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311603",
            "telephone_number": "412-673-7745",
            "fax_number": "412-673-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "HASHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD049441L",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD049441L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01566882",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

Verify at the official NPI Registry.