Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mamoon A. Raza, MD

Individual provider Gastroenterology Physician · NPI 1326098013

Dr. Mamoon A. Raza, MD is a Gastroenterology in Elkhart, Indiana. Qualified in 1998, 28 years ago. Practices with Privia Medical Group Indiana LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
28
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

303 S Nappanee St
Elkhart, IN 46514-2066
Phone: (574) 296-3341
Fax: (574) 296-3223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 01061775A (IN)

Record details

NPI number1326098013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 19, 2007
Mailing addressP.O. Box 2968, Elkhart, IN 46515-2968

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Privia Medical Group Indiana Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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