Individual provider Active NPI

Muhammad Sheraz Raza, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Grand Rapids, MI
National Provider Identifier
1902423767
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
4301509379 Issued in MI
Practice address
200 Jefferson Ave SE BLDG Suite305
Grand Rapids, MI 49503-4502
Phone
(616) 685-6774
NPI assigned
Jun 28, 2020
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4351046584 MI
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 4301509379 MI Primary

Addresses

Primary practice location

200 Jefferson Ave SE BLDG Suite305
Grand Rapids, MI 49503-4502

Mailing address

200 Jefferson Ave SE BLDG Suite305
Grand Rapids, MI 49503-4502
Phone (616) 685-6774

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
I20240103002887 MI Practitioner - Pediatric Medicine 7618327693 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351046584MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Palliative Care CurrentSince Nov 26, 2023 Accepting new patients
Faith Hospice CurrentSince Nov 26, 2023 Accepting new patients

Locations

8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315
Phone (616) 235-5100

2100 Raybrook St SE
Ste 10
Grand Rapids, MI 49546
Phone (616) 235-5101

2100 Raybrook St SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 235-5101

2100 Raybrook St SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 235-5100

Interoperability endpoints

  • Direct secure messaging: mraza2930781@direct.trinity-health.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1902423767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON AVE SE BLDG SUITE305",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034502",
            "telephone_number": "616-685-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON AVE SE BLDG SUITE305",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034502",
            "telephone_number": "616-685-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "MUHAMMAD SHERAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-28",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4351046584",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301509379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.