Individual provider Active NPI

Syed Raza, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1871592675
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33321 Issued in MO
Practice address
909 N 14TH St
Saint Louis, MO 63106-3826
Phone
(314) 531-1770
Fax
(314) 771-9485
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33321 MO Primary

Addresses

Primary practice location

909 N 14TH St
Saint Louis, MO 63106-3826

Mailing address

5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 531-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100301000034 MO Practitioner - Psychiatry 8527143502 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33321MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Jean Kerr People'S Health Centers CurrentSince Aug 17, 2012 Accepting new patients
Serenity Health LLC Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Compass Health, Inc. Past Accepting new patients
St. Louis Internal Medicine Inc PastSince Aug 1, 2023 Accepting new patients
Comprehensive Mental Health Center of St. Clair County, Inc. Past Accepting new patients
Betty Jean Kerr People'S Health Centers PastSince Nov 1, 2021 Accepting new patients
Comprehensive Behavioral Health Center of St. Clair County, Inc. Past Accepting new patients
Compass Health, Inc Past Accepting new patients

Locations

5000 Cedar Plaza Pkwy
Ste 350
Saint Louis, MO 63128
Phone (314) 843-4333

909 N 14th St
Saint Louis, MO 63106

5647 Delmar Blvd
Saint Louis, MO 63112
Phone (314) 678-4450

5701 Delmar Blvd
Saint Louis, MO 63112
Phone 31436778481248

4236 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 531-1155

4905 Mexico Rd
Ste 300
Saint Peters, MO 63376
Phone (636) 928-5109

4905 Mexico Rd
Ste 400
Saint Peters, MO 63376
Phone (314) 860-9979

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1871592675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122617",
            "telephone_number": "314-531-1770",
            "fax_number": "314-771-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N 14TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063826",
            "telephone_number": "314-531-1770",
            "fax_number": "314-771-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "33321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.