MUHAMMAD RAZA M.D
NPI 1619198512
Internal Medicine - Hematology & Oncology in Memphis, TN

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
81.36/100
CMS Quality Rating
80 HUMPHREYS CENTER DR STE 330, MEMPHIS, TN 38120(901) 752-6131(901) 752-6167 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2021, Jan 31, 2020, Oct 17, 2016 (3 updates tracked since 2016).

About Muhammad Raza M.d NPPES

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

MUHAMMAD RAZA M.D (NPI 1619198512) is an individual hematology & oncology provider in Memphis, Tennessee, licensed in Tennessee (47036) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Union County, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619198512
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMUHAMMAD RAZACredential: M.D
Location Address80 HUMPHREYS CENTER DR STE 330Memphis, TN 38120-2363
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · Fax (901) 227-8591
Fax(901) 752-6167
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 1, 2007
Last NPPES UpdateJune 22, 20213 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1619198512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in TN · 47036 Licensed in MS · 21773 Licensed in AR · E8094
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
80 HUMPHREYS CENTER DR STE 330, Memphis, TN 38120

Secondary Practice Locations 2

Location 12100 N 7th StWest Memphis, AR 72301-2017 · Phone (901) 752-6131 · Fax (901) 722-0570
Location 2391 Southcrest Cir Ste 101Southaven, MS 38671-4848 · Phone (662) 349-0755 · Fax (662) 349-0356

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

Muhammad 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 ID3870762263
PECOS Enrollment IDI20110801000284, I20130620000245
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 10

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 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.
754 services126 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
650 services209 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
110 services90 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.
94 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services72 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services48 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Memorial Hospital Union County

Acute Care Hospitals · New Albany, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250006
Location200 Hwy 30 WestNew Albany, MS 38652 · Union County
Emergency services Birthing friendly

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

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

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

81.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.07
Promoting Interoperability92
Improvement Activities40
Cost46.76

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier11 claims22 services$5.54 avg. paid by Medicare
Stoma cap A5055
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$1.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers20 claims20 services$29.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
80 HUMPHREYS CENTER DR STE 330
MEMPHIS, TN 38120
Nurse Practitioner
80 HUMPHREYS CENTER DR STE 330
MEMPHIS, TN 38120
Nurse Practitioner (Adult Health)
80 HUMPHREYS CENTER DR STE 330
MEMPHIS, TN 38120
Internal Medicine (Hematology & Oncology)
80 HUMPHREYS CENTER DR STE 330
MEMPHIS, TN 38120
Internal Medicine (Hematology & Oncology)
80 HUMPHREYS CENTER DR STE 330
MEMPHIS, TN 38120
Nurse Practitioner (Family)
80 HUMPHREYS CENTER DR STE 330
MEMPHIS, TN 38120
Internal Medicine (Hematology & Oncology)
80 HUMPHREYS CENTER DR STE 330
MEMPHIS, TN 38120
Nurse Practitioner (Family)
80 HUMPHREYS CENTER DR STE 330, STE 300
MEMPHIS, TN 38120

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 Muhammad Raza's NPI number?

The NPI number for Muhammad Raza is 1619198512. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Muhammad Raza located?

Muhammad Raza practices at 80 Humphreys Center Dr Ste 330, Memphis, TN 38120. The listed phone number is (901) 752-6131.

What is Muhammad Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Muhammad Raza enrolled in Medicare?

Yes. Muhammad 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 Muhammad Raza accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 9 other insurers list Muhammad 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 Muhammad Raza affiliated with any hospitals?

According to CMS data, Muhammad Raza is affiliated with Baptist Memorial Hospital Union County, Baptist Memorial Hospital Desoto, Baptist Memorial Hospital and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Muhammad Raza was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.