SYED WAJAHAT RAZA – Behavior Technician, NPI 1245838994

SYED WAJAHAT RAZA is a healthcare provider. based in Woodbridge, Virginia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 0110010783 (VA). The NPI Number for SYED WAJAHAT RAZA is 1245838994

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
SYED WAJAHAT RAZA
NPI
1245838994
Phone
(210) 863-4904
Address
12029 TANGO LN
Enumeration Date
14 October 2020
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5714995813
Graduation Year
2025 (1 year ago)
PAC ID
0547784522
Group Practice PAC ID
2062572456
Professional Enrollment ID
I20250411001005
Address ID
VA220251997DU3990XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for SYED WAJAHAT RAZA

  • 12029 TANGO LN

    WOODBRIDGE, VA 221936111

    Phone: (210) 863-4904

    Type: Mailing

  • 6051 FM 3009

    SCHERTZ, TX 781543433

    Phone: (830) 420-6200

    Type: Location

  • 12407 PAINTED DAISY

    SAN ANTONIO, TX 782535714

    Phone: (210) 863-4904

    Type: Mailing

  • 1020 CENTRAL PKWY S

    SAN ANTONIO, TX 782325021

    Phone: (210) 798-2273

    Type: Location

  • 15 S GATEWAY DR STE 101

    FREDERICKSBURG, VA 224061231

    Phone: (540) 368-5603

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250411001005IPhysician AssistantVATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22193)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062572456View full group profile
NameSpecialtyState
-VA
Physician AssistantOK
Orthopedic Surgery, Sports MedicineVA
Family PracticeVA
Nurse PractitionerVA
Nurse PractitionerFL
-MD
Nurse PractitionerVA
Interventional Pain ManagementVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Can I cross-check SYED WAJAHAT RAZA using NPI 1245838994?
NPI 1245838994 belongs to SYED WAJAHAT RAZA; compare other details if you need extra assurance.
Is there an active status for SYED WAJAHAT RAZA?
For scheduling context, SYED WAJAHAT RAZA is shown as active in the registry.
How would a patient describe SYED WAJAHAT RAZA's focus?
For SYED WAJAHAT RAZA, the primary taxonomy reads as Behavior Technician. Clinical services aligned with this taxonomy classification.
Is SYED WAJAHAT RAZA located near Woodbridge?
SYED WAJAHAT RAZA currently maps to Woodbridge, Virginia in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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