Individual provider Active NPI

Syed Muhammad Mohsin Raza, M.D.

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1992903157
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD57499 Issued in TN
Practice address
1325 Eastmoreland Ave Ste 445
Memphis, TN 38104-7536
Phone
(901) 866-8810
Fax
(901) 302-2450
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 57499 TN
Nephrology Physician 207RN0300X MD57499 TN Primary

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 445
Memphis, TN 38104-7536

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809

Other practice location 1

1068 Cresthaven Rd Ste 500
Memphis, TN 38119-0846
Phone (901) 866-8810

Other practice location 2

1995 Highway 51 S
Covington, TN 38019-3635
Phone (901) 866-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181204003136 TN Practitioner - Nephrology 0840434106 Reassigns benefits to 1 organization
I20231023001437 MS Practitioner - Nephrology 0840434106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians

Practice addresses (Care Compare)

1068 Cresthaven Rd
Memphis, TN 38119-0845

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 866-8811

1325 Eastmoreland Ave
Suite 445
Memphis, TN 38104-7536
Phone (901) 866-8810

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (901) 866-8360

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 866-8801

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 866-8053

930 Madison Ave
Memphis, TN 38103-3410

Hospital & facility affiliations

  • DaVita Tipton County Dialysis Dialysis facility, Covington, TN, CCN 442604
  • DaVita Renal Care of Midtown Memphis Dialysis facility, Memphis, TN, CCN 442646
  • DaVita Memphis Central Dialysis Dialysis facility, Memphis, TN, CCN 442573
  • DaVita Ripley Dialysis Center Dialysis facility, Ripley, TN, CCN 442696
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Regional One Health Hospital, Memphis, TN, CCN 440152
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
59.97
Promoting interoperability
100
Improvement activities
40
Cost
80.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57499TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Ut Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

1068 Cresthaven Rd
Ste 500
Memphis, TN 38119
Phone (901) 476-2727

1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

1325 Eastmoreland Ave
Ste 445
Memphis, TN 38104
Phone (901) 866-8810

Interoperability endpoints

  • Direct secure messaging: sraza44054@mlh.direct-ci.com
  • Direct secure messaging: sraza591906@direct.bmhcc.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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1992903157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 445",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047536",
            "telephone_number": "901-866-8810",
            "fax_number": "901-302-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 Cresthaven Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190846",
            "country_code": "US",
            "telephone_number": "901-866-8810",
            "fax_number": "901-302-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193635",
            "country_code": "US",
            "telephone_number": "901-866-8810",
            "fax_number": "901-302-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "middle_name": "MUHAMMAD MOHSIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "57499",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD57499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.