Active NPI
Fayez S Raza, M.D.
- Cardiovascular Disease Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 361377
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2017 - Phone
- (214) 820-0000
- NPI assigned
- Apr 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q4497 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 361377 | TX | Primary |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fraza299335@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Miami, LM Miller School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1820 Preston Park Blvd
Suite 1450
Plano, TX 75093-3691
Phone (972) 964-0363
Hospital & facility affiliations
- Baylor Scott and White the Heart Hospital Corinth
- Baylor Scott and White Medical Center McKinney
- Baylor Scott & White the Heart Hospital Plano
- The Heart Hospital Baylor Denton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 361377 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Texas Heart Hospital of the Southwest LLC | Current | Accepting new patients | |
| Texas Heart Hospital of the Southwest LLP | Current | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3500 Gaston Ave
Dallas, TX 75246
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
3600 Gaston Ave
Ste 558
Dallas, TX 75246
5236 W University Dr
Ste 4900
McKinney, TX 75071
Phone (469) 800-5350
5236 W University Dr
Ste 4450
McKinney, TX 75071
Phone (469) 800-5090
5268 W University Dr
McKinney, TX 75071
Phone (469) 764-3400
1820 Preston Park Blvd
Ste 1450
Plano, TX 75093
Phone (469) 800-4540
1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
111 S Preston Rd
Ste 10
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- fraza299335@direct.sw.org
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baylor Scott & White the Heart Hospital - Plano | Hospital | General Partnership Interest | Mar 1, 2023 |
| Baylor Scott & White the Heart Hospital - Denton | Hospital | General Partnership Interest | Sep 10, 2021 |
| Baylor Scott & White the Heart Hospital Rehabilitation | Hospital | General Partnership Interest | Nov 1, 2024 |
| Baylor Scott & White the Heart Hospital - Corinth | Hospital | General Partnership Interest | Nov 1, 2024 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
General Partnership Interest
-
- Rehabilitation Hospital Unit
- Denton, TX
- NPI 1033938451
General Partnership Interest
-
- General Acute Care Hospital
- Denton, TX
- NPI 1194753590
General Partnership Interest
-
- General Acute Care Hospital
- Denton, TX
- NPI 1669213831
General Partnership Interest
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Plano, TX
- NPI 1104164755
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
-
- General Acute Care Hospital
- Denton, TX
- NPI 1194753590
-
- General Acute Care Hospital
- Denton, TX
- NPI 1669213831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1972860849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZA",
"first_name": "FAYEZ",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-17",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q4497",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "361377",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fraza299335@direct.sw.org",
"affiliation": "N",
"address_1": "5236 W University Dr Ste 4450",
"city": "McKinney",
"state": "TX",
"country_code": "US",
"postal_code": "750718221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.