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SYED M RAZA M.D.
NPI 1841220241
Psychiatry & Neurology - Psychiatry in Harlan, KY

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
37 BALL PARK RD, HARLAN, KY 40831(606) 573-4520(606) 573-6392 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Syed M Raza M.d. NPPES

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

SYED M RAZA M.D. (NPI 1841220241) is an individual psychiatry provider in Harlan, Kentucky, licensed in Kentucky (36481) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Harlan Arh Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1841220241
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSYED M RAZACredential: M.D.
Location Address37 BALL PARK RDHarlan, KY 40831-1701
Mailing Address81 Ball Park RdHarlan, KY 40831-1792 · (065) 738-1000 · Fax (606) 574-9995
Phone(606) 573-4520
Fax(606) 573-6392
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1841220241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 36481
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
37 BALL PARK RD, Harlan, KY 40831
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Other Identifiers 1

Medicaid64027675KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Syed M 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 ID6002899317
PECOS Enrollment IDI20040609000154
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Syed Raza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc
Same address
Rural Health
37 BALL PARK ROAD
Harlan, KY 40831
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1669506523 (606) 573-4520
Robert Hoskins, PLLC
24 mi
Physician Assistant
22055 MAIN STREET, STE 101
Hyden, KY 41749
  • Reassigned Medicare billing, Kentucky enrollment
  • 21 clinicians in this Medicare group
NPI 1558372771 (606) 672-7425
Arh Mary Breckinridge Health Services, Inc.
25 mi
Anatomic Pathology & Clinical Pathology
130 KATE IRELAND DR
Hyden, KY 41749
  • Reassigned Medicare billing, Kentucky enrollment
  • 97 clinicians in this Medicare group
NPI 1962040758 (606) 672-2901
Cumberland River Behavioral Health, Inc
44 mi
Community/Behavioral Health
1203 AMERICAN GREETING RD
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 72 clinicians in this Medicare group
NPI 1902023526 (606) 528-7010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
197 services40 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
37 services31 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services32 patients
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.
35 services19 patients

Hospital Affiliations CMS Care Compare

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

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40831 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

MICHELLE RENEE SCEARSE APRN
Nurse Practitioner (Family)
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
RACHEL WILSON APRN
Nurse Practitioner (Family)
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
MISTY RENEE TURNER ARNP
Nurse Practitioner
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 543-4520
VANESSA LEE JACO CRNP
Nurse Practitioner (Acute Care)
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
MELODY SMITH
Registered Nurse
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
JOSE ECHEVERRIA MD
Internal Medicine
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
JERRY WILLIAM MCROBERTS M.D.
Urology
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 574-8423
DR. GREGORY LYNN CARPENTER M.D.
Surgery
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520

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 Syed Raza's NPI number?

The NPI number for Syed Raza is 1841220241. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Syed Raza located?

Syed Raza practices at 37 Ball Park Rd, Harlan, KY 40831. The listed phone number is (606) 573-4520.

What is Syed Raza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Syed Raza enrolled in Medicare?

Yes. Syed 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.

Which organizations bill Medicare for Syed Raza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Syed Raza reassigns Medicare benefits to 4 organizations: Appalachian Regional Healthcare, Inc (Harlan, KY), Robert Hoskins, PLLC (Hyden, KY), Arh Mary Breckinridge Health Services, Inc. (Hyden, KY) and Cumberland River Behavioral Health, Inc (Corbin, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Syed Raza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Syed Raza accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Syed 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 Syed Raza affiliated with any hospitals?

According to CMS data, Syed Raza is affiliated with Harlan Arh Hospital.

When was this NPI record last updated?

The NPPES record for Syed Raza was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.