Active NPI
Ahsan Raza, MD
- Nephrology Physician
- Louisville, KY
National Provider Identifier
1861008146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 61841
- Practice address
- 721 S Preston St FL 2
Louisville, KY 40203-2319 - Phone
- (502) 583-1799
- Fax
- (502) 593-1792
- NPI assigned
- Sep 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 61841 | KY | Primary |
Addresses
Primary practice location
721 S Preston St FL 2
Louisville, KY 40203-2319
Mailing address
721 S Preston St FL 2
Louisville, KY 40203-2319
Phone (502) 583-1799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231004001959 | MS | Order and Referring Only - Internal Medicine | 0749645208 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients |
Locations
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- ahsanraza@nmhs.medalliesdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1861008146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S PRESTON ST FL 2",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032319",
"telephone_number": "502-583-1799",
"fax_number": "502-593-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S PRESTON ST FL 2",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032319",
"telephone_number": "502-583-1799",
"fax_number": "502-593-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZA",
"first_name": "AHSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-21",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "61841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.