Mamoon Raza, M.D.
NPI 1326098013 · Gastroenterology Physician · Elkhart, IN
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mamoon Raza, M.D. is a Gastroenterology Physician provider in Elkhart, IN (NPI 1326098013).
Provider details
- NPI number
- 1326098013
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01061775A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
785 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Tracing93005 | 229 | $6 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 111 | $231 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 93 | $85 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 55 | $166 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 52 | $128 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 297 | 283 |
| Ondansetron Hcl | 218 | 215 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 210 | 208 |
| Pantoprazole Sodium | 185 | 63 |
| Omeprazole | 95 | 30 |
| Famotidine | 66 | 20 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$740 across 29 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2007-09-19
Frequently asked questions
- What is Mamoon Raza's NPI number?
- Mamoon Raza's National Provider Identifier (NPI) is 1326098013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mamoon Raza's specialty?
- Mamoon Raza is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Mamoon Raza located?
- Mamoon Raza's practice location on file with NPPES is 303 S Nappanee St, Elkhart, IN 46514-2066.
- What is Mamoon Raza's phone number?
- The practice phone number listed in the NPPES registry for Mamoon Raza is (574) 296-3341.
- Does Mamoon Raza accept Medicare?
- Mamoon Raza is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mamoon Raza's NPI active?
- Yes — Mamoon Raza's NPI (1326098013) is active in the NPPES registry as of the last update on 2007-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.