DR. KHATEEB RAZA DO
NPI 1316680028
Student in an Organized Health Care Education/Training Program in Syracuse, NY
About Dr. Khateeb Raza Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KHATEEB RAZA DO (NPI 1316680028) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Khateeb Raza Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
SYRACUSE, NY 13210
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Khateeb Raza's NPI number?
The NPI number for Khateeb Raza is 1316680028. It was assigned to this individual provider in the NPPES registry on April 19, 2022.
Where is Khateeb Raza located?
Khateeb Raza practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-7617.
What is Khateeb Raza's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Khateeb Raza enrolled in Medicare?
Yes. Khateeb Raza is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Khateeb Raza was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Khateeb Raza, DO · NPI 1316680028
Student in an Organized Health Care Education/Training Program provider in Syracuse, New York. Individual provider, active in the CMS NPPES registry since April 19, 2022.
## Identity
- **NPI:** 1316680028 (Entity type: Individual)
- **Enumerated:** April 19, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 750 E ADAMS ST, Syracuse, NY 13210-1834
- **Phone:** (315) 464-7617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316680028) · Data from the CMS NPPES public registry.