SUGHRA RAZA M.D.
NPI 1447246459
Radiology - Diagnostic Radiology in Worcester, MA

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-3850(508) 334-6490 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2022, May 27, 2022, May 13, 2022 and 1 more (4 updates tracked since 2021).

About Sughra Raza M.d. NPPES

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

SUGHRA RAZA M.D. (NPI 1447246459) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Massachusetts (73856) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Albany Medical College Of Union University (1984).

NPPES Registry Identity

NPI1447246459
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUGHRA RAZACredential: M.D.
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 334-6490
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1984
Enumeration DateSeptember 26, 2005
Last NPPES UpdateSeptember 30, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1447246459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MA · 73856 Licensed in NH · 23201
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 LAKE AVE N, Worcester, MA 01655

Other Identifiers 4

Medicaid3082237MA
OtherE95640BWHTMA · Harvard Pilgrim
Other73856MA · Tufts Health Care
OtherJ11473MA · Blue Cross Blue Shield

Accepted 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

Sughra Raza M.d. 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 ID9335186881
PECOS Enrollment IDI20050415000278, I20221108000935
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 12

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
602 services602 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
601 services601 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
167 services165 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
124 services117 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
92 services92 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
91 services89 patients

Hospital Affiliations CMS Care Compare 4

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Springfield Hospital

Critical Access Hospitals · Springfield, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471306
LocationPO Box 2003Springfield, VT 05156 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Sughra Raza's NPI number?

The NPI number for Sughra Raza is 1447246459. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Sughra Raza located?

Sughra Raza practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3850.

What is Sughra Raza's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sughra Raza enrolled in Medicare?

Yes. Sughra 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 Sughra Raza accept?

Health plans from Anthem Blue Cross and Blue Shield list Sughra 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 Sughra Raza affiliated with any hospitals?

According to CMS data, Sughra Raza is affiliated with Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center, Mary Hitchcock Memorial Hospital and Springfield Hospital.

When was this NPI record last updated?

The NPPES record for Sughra Raza was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.