DR. MAMOON A. RAZA (M.D.) – Gastroenterology Physician, NPI 1326098013
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
448 GASTROENTEROLOGY in IN
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Provider Addresses for DR. MAMOON A. RAZA (M.D.)
P.O. BOX 2968
ELKHART, IN 465152968
Phone: (574) 296-3341
Fax: (574) 296-3223
Type: Mailing
South Nappanee Street, Elkhart, Elkhart County, Indiana, 46514, United States
ELKHART, IN 465142066
Phone: (574) 296-3341
Fax: (574) 296-3223
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,484.
Total Amount is formed as General ($1,484) + Research ($0) + Ownership ($0) = $1,484.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($334).
Total Amount
$1,484
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,484
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $334 |
| Endogastric Solutions, Inc | $295 |
| Janssen Biotech, Inc. | $210 |
| Boston Scientific Corporation | $130 |
| Regeneron Healthcare Solutions, Inc. | $96 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060627000123 | I | Gastroenterology | IN | TBD |
| I20251022003005 | I | Gastroenterology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 206 | 206 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 99 | 98 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 96 | 95 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 60 | 60 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 52 | 52 | $0 |
Insurance plans in this area (ZIP 46515)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IN | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 44 | 44 |
| GASTROENTEROLOGY | IN | 45378 | Diagnostic examination of large bowel using an endoscope | 16 | 16 |
| GASTROENTEROLOGY | IN | 85610 | Blood test, clotting time | 15 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Internal Medicine | IN | |
| Pain Management | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| P O D I A T R Y | IN | |
| Nurse Practitioner | IN | |
| Qualified Audiologist | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN |
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