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MR. HASAN RAZA PA-C
NPI 1710382601
Physician Assistant - Medical in Janesville, WI

Active since November 04, 2014PECOS Enrolled
17 S RIVER ST, SUITE 254, JANESVILLE, WI 53548(608) 755-5260 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Hasan Raza Pa-c NPPES

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

MR. HASAN RAZA PA-C (NPI 1710382601) is an individual medical provider in Janesville, Wisconsin, licensed in Wisconsin (346123) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710382601
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. HASAN RAZACredential: PA-C
Location Address17 S RIVER ST, SUITE 254Janesville, WI 53548-3860
Mailing Address17 S River St, Suite 254Janesville, WI 53548-3860 · (608) 755-5260
Phone(608) 755-5260
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 4, 2014
Last NPPES UpdateOctober 27, 2015
✔ NPI 1710382601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 346123
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 346123 (WI)
17 S RIVER ST, Janesville, WI 53548
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Other Identifiers 1

Medicaid1710382601WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Hasan Raza Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274852041
PECOS Enrollment IDI20150428002128
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

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.

Established patient office or other outpatient visit, 30-39 minutes 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.
71 services23 patients

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.

MS. JOCELYN MARIE MALLON LPC
Counselor (Professional)
17 S RIVER ST, SUITE 254
JANESVILLE, WI 53548
Rock County (608) 755-5260
JENNIFER L CHELLEVOLD MS
Counselor (Mental Health)
17 S RIVER ST, 254
JANESVILLE, WI 53548
Rock County (608) 755-5260
TAMI R DOSCH LCSW
Social Worker (Clinical)
17 S RIVER ST
JANESVILLE, WI 53548
Rock County (608) 755-5260
KELLEY F EVERSON LPC
Counselor (Professional)
17 S RIVER ST, 254
JANESVILLE, WI 53548
Rock County (608) 755-5260
HEATHER K. MASLONKA MA, LPC
Counselor (Professional)
17 S RIVER ST
JANESVILLE, WI 53548
Rock County (608) 755-5260
TRIVIUM LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
17 S RIVER ST
JANESVILLE, WI 53548
Rock County (608) 755-5260
ALISA L THOMPSON LPC
Counselor (Professional)
17 S RIVER ST, SUITE 254
JANESVILLE, WI 53548
Rock County (608) 755-5260

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 Hasan Raza's NPI number?

The NPI number for Hasan Raza is 1710382601. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Hasan Raza located?

Hasan Raza practices at 17 S River St Suite 254, Janesville, WI 53548. The listed phone number is (608) 755-5260.

What is Hasan Raza's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Hasan Raza enrolled in Medicare?

Yes. Hasan Raza is registered in the Medicare PECOS enrollment system.

What insurance does Hasan Raza accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and MercyCare Health Plans list Hasan 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.

When was this NPI record last updated?

The NPPES record for Hasan Raza was last updated on October 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.