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

Mr. Hasan Raza, PA-C

Individual provider Medical Physician Assistant · NPI 1710382601

Mr. Hasan Raza, PA-C is a Physician Assistant in Janesville, Wisconsin. Qualified in 2013, 13 years ago. Practices with Trivium LLC, a 12-clinician group and offers telehealth. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

17 S River St Ste 254
Janesville, WI 53548-3860
Phone: (608) 755-5260
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 346123 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 346123 (WI)

Record details

NPI number1710382601
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESOctober 27, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Trivium Llc — 12 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Janesville