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SHAHNILA RAZA MD
NPI 1427233196
Internal Medicine in Southhaven, MS

Active since December 31, 2007PECOS EnrolledAccepts Medicare Assignment
76.51/100
CMS Quality Rating
7601 SOUTHCREST PARKWAY, SOUTHHAVEN, MS 38671(662) 772-2980(662) 772-2960 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2019, Oct 24, 2016 (2 updates tracked since 2016).

About Shahnila Raza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHNILA RAZA MD (NPI 1427233196) is an individual internal medicine provider in Southhaven, Mississippi, licensed in Mississippi (21380) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1427233196
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHAHNILA RAZACredential: MD
Location Address7601 SOUTHCREST PARKWAYSouthhaven, MS 38671-4739
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · Fax (901) 227-8591
Phone(662) 772-2980
Fax(662) 772-2960
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 31, 2007
Last NPPES UpdateNovember 20, 20192 updates tracked since enumeration
✔ NPI 1427233196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 21380
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7601 SOUTHCREST PARKWAY, Southhaven, MS 38671
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shahnila Raza Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779764469
PECOS Enrollment IDI20110301000604, I20180705000777
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
3,168 services553 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
267 services258 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.53
Promoting Interoperability82
Improvement Activities40
Cost66.19

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN KHOA TRAN MD
Student in an Organized Health Care Education/Training Program
7601 SOUTHCREST PARKWAY
SOUTHAVEN, MS 38671
Desoto County (662) 772-3607
MR. HAMZA A LODHI MD
Hospitalist
7601 SOUTHCREST PARKWAY
SOUTHAVEN, MS 38671
Desoto County (662) 772-2488
DR. HILLEL E. WIENER DO
Internal Medicine
7601 SOUTHCREST PARKWAY
SOUTHAVEN, MS 38671
Desoto County (662) 772-2980
DR. FAZILA KHALIQ MD
Internal Medicine
7601 SOUTHCREST PARKWAY
SOUTHAVEN, MS 38671
Desoto County (662) 772-2980
DR. AYESHA MUZAMMIL MD
Internal Medicine
7601 SOUTHCREST PARKWAY
SOUTHAVEN, MS 38671
Desoto County (662) 772-2980
JUDY GALLOWAY RD, LD, LDN, CDE
Dietitian, Registered
7601 SOUTHCREST PARKWAY, BAPTIST MEMORIAL HOSPITAL DESOTO
SOUTHAVEN, MS 38671
Desoto County (662) 772-3183
MS. VICKY J GAMBER ATC
Specialist/Technologist (Athletic Trainer)
7601 SOUTHCREST PARKWAY
SOUTHAVEN, MS 38671
Desoto County (662) 349-7535

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 Shahnila Raza's NPI number?

The NPI number for Shahnila Raza is 1427233196. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Where is Shahnila Raza located?

Shahnila Raza practices at 7601 Southcrest Parkway, Southhaven, MS 38671. The listed phone number is (662) 772-2980.

What is Shahnila Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shahnila Raza enrolled in Medicare?

Yes. Shahnila Raza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shahnila Raza accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shahnila Raza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shahnila Raza affiliated with any hospitals?

According to CMS data, Shahnila Raza is affiliated with Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shahnila Raza was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.