Individual provider Active NPI

Syed Naweed Raza, MD

  • Otolaryngology Physician
  • Detroit, MI
National Provider Identifier
1801109277
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301096392 Issued in MI
Practice address
4100 John R Wertz Clinic
Karmanos Cancer Center
Detroit, MI 48201-2013
Phone
(800) 527-6266
Fax
(313) 578-8381
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301096392 MI Primary

Addresses

Primary practice location

4100 John R Wertz Clinic
Karmanos Cancer Center
Detroit, MI 48201-2013

Mailing address

1560 E Maple Rd
Suite 400 - Credentialing Department
Troy, MI 48083-1138
Phone (800) 527-6266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100921001161 MI Practitioner - Otolaryngology 6901921493 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux21
Melanoma (skin cancer) excision52
Removal of tissue22
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Orthopaedic Surgery CurrentSince Feb 1, 2013 Accepting new patients
University Physician Group CurrentSince Feb 1, 2013 Accepting new patients
McLaren Macomb CurrentSince Sep 3, 2022 Accepting new patients
McLaren Medical Group CurrentSince Dec 31, 2020 Accepting new patients
McLaren Medical Group CurrentSince Dec 31, 2020 Accepting new patients
McLaren Flint Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Sep 1, 2021 Accepting new patients
McLaren Flint Current Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Sep 1, 2021 Accepting new patients
McLaren Flint CurrentSince Sep 1, 2021 Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients
Barbara Ann Karmanos Cancer Hospital Past Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

18800 Hubbard Dr
Dearborn, MI 48126
Phone (313) 576-9182

18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460

1314 S Linden Rd
Flint, MI 48532
Phone (810) 342-1700

1314 S Linden Rd
Ste Abc
Flint, MI 48532
Phone (810) 342-1700

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

31450 7 Mile Rd
Livonia, MI 48152
Phone (248) 478-6363

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151

1560 E Maple Rd
Ste 400
Troy, MI 48083

Organizations & group practices 12

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 6

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1801109277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400 - CREDENTIALING DEPARTMENT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "800-527-6266",
            "fax_number": "313-576-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHN R WERTZ CLINIC",
            "address_2": "KARMANOS CANCER CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012013",
            "telephone_number": "800-527-6266",
            "fax_number": "313-578-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "middle_name": "NAWEED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301096392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.