Raza Mushtaq · Neuroradiology Physician

200 Medical Pkwy Ste 310, Lakeway, TX 78738-1794

Overview

Raza Mushtaq is a Neuroradiology Physician practicing in Lakeway, Texas. The National Provider Identifier (NPI) is #1700271285, which was assigned on April 1, 2015, and the registration record was last updated on October 18, 2025. The practitioner's main practice location is at 200 Medical Pkwy Ste 310, Lakeway, TX 78738-1794; the contact telephone number is 5126540300. The primary taxonomy of Raza Mushtaq is Neuroradiology Physician (2085N0700X), with specialization in Neuroradiology. Raza Mushtaq is licensed to practice in the state of Texas (#V6653), Texas (#V6653).

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Provider Information

NPI 1700271285
Entity Type Individual
Provider Name RAZA MUSHTAQ
Gender Male
Credential MD
Practice Address 200 Medical Pkwy Ste 310
Lakeway
TX 78738-1794
Practice Telephone 5126540300
Mailing Address Po Box 44037
Phoenix
AZ 85064-4037
Mailing Telephone 6029546228
Certification Date 2025-10-18
Enumeration Date 2015-04-01
Last Update Date 2025-10-18
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 4082964044
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name RAZA MUSHTAQ
Primary Specialty DIAGNOSTIC RADIOLOGY
Organization Legal Name SOUTHWEST NEURO IMAGING LTD
Address 350 W Thomas Rd
Phoenix
AZ 85013-4409

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N2085R0202XRadiologyDiagnostic RadiologyV6653TX
N2085N0700XRadiologyNeuroradiologyV6653TX

Secondary Practice Locations

AddressTelephoneFax
1625 N Campbell Ave, Tucson, AZ 8571943308004653203
200 Medical Pkwy Ste 310, Lakeway, TX 7873817945126540300
PO Box 44037, Phoenix, AZ 8506440376029546228

Taxonomy Information

Primary Taxonomy

Code 2085N0700X
Taxonomy Neuroradiology Physician
Classification Radiology
Specialization Neuroradiology
Grouping Allopathic & Osteopathic Physicians
Definition: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Other Taxonomy

Code 2085R0202X
Taxonomy Diagnostic Radiology Physician
Classification Radiology
Specialization Diagnostic Radiology
Grouping Allopathic & Osteopathic Physicians
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Alper Sever 504 E 81st St Apt 5l, New York, NY 10028-7027Neuroradiology Physician2025-08-18
Hudson Valley Radiologists, PC 9 Twin Ponds Dr, Bedford Hills, NY 10507-1209Neuroradiology Physician2022-10-11
Alka Gupta 750 E Adams St Dept Of, Syracuse, NY 13210-2306Neuroradiology Physician2018-05-17
Thomas Edward Conturo 4567 W Pine Blvd Apt 312, Saint Louis, MO 63108-2175Neuroradiology Physician2022-01-19
Case View Medical Services PLLC 2809 Ocean Pkwy, Brooklyn, NY 11235-7802Neuroradiology Physician2025-12-29
Clarity Brain and Spine 201 E Wilco Hwy Ste 201, Hutto, TX 78634-2739Neuroradiology Physician2025-10-09
Prajeet Kaza 60 Mdg/Sgqq, 101 Bodin Circle, Travis Afb, CA 94535-1809Neuroradiology Physician2019-03-30
Jared William Peacock 1924 Alcoa Hwy # U-107, Knoxville, TN 37920-1511Neuroradiology Physician2019-04-03
Phillip L Rathousky 2355 Hwy 36 W, Ste. 100, Roseville, MN 55113Neuroradiology Physician2015-06-28
Daniel Hampton 350 Hospital Dr, Macon, GA 31217-3838Neuroradiology Physician2015-04-30
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Location Information

Street Address 200 MEDICAL PKWY STE 310
City LAKEWAY
State TX
Zip Code 78738-1794
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Candice Estelle Walker 200 Medical Pkwy Ste 310, Lakeway, TX 78738-1794Obstetrics & Gynecology Physician2007-07-18

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Millie Sareen 200 Medical Pkwy Ste 320, Lakeway, TX 78738-1794Neurology Physician2021-04-15

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Ko Counseling 3502 Wild Cherry Dr Bldg 3, Austin, TX 78738-1826Mental Health Counselor2025-09-22
Jeremy Ryan Jones · Jeremy R Jones 200 Medical Pkwy Ste 210, Lakeway, TX 78738-1793Physical Medicine & Rehabilitation Physician2011-06-24
Austin Hajna 200 Medical Pkwy Ste 130, Lakeway, TX 78738-1790Physician Assistant2021-06-24
Megan Hannah Laney 15801 W Hwy 71, Bee Cave, TX 78738-2702Behavioral Analyst2021-07-07
Harrison Varnell 200 Medical Pkwy Ste 260, Lakeway, TX 78738-1796Physical Therapist2026-01-07
Nolan Angelo Barit 12921 Hill Country Blvd, Suite #D2-115, Austin, TX 78738Optometrist2006-10-03
Dentaire Dentistry 905 Highlands Blvd, Suite 103, Austin, TX 78738General Practice Dentistry2025-10-22
Brijesh V Reddy · Brij Reddy 2802 Flintrock Trce Ste 215, Austin, TX 78738-1743Diagnostic Radiology Physician2008-05-21
Zyvra Mobility LLC 7016 Davenport Divide Rd, Austin, TX 78738-2124Non-emergency Medical Transport (VAN)2025-10-31
Daniel Chege 3944 Ranch Rd 620 S, Building 8 Suite 101, Bee Cave, TX 78738Family Nurse Practitioner2016-03-16
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.