Mamoon A. Raza, M.D.
NPI 1326098013ActiveIndividual· Internal Medicine, Gastroenterology· Elkhart, IN
Internal Medicine, Gastroenterology (M.D.) with Lee Health System Inc and 1 other group, practicing in Elkhart, Indiana. In 2024 Medicare paid $85,439 for 420 patients, and Part D covered 1,297 of their prescriptions, 87% of them generic. Madrigal Pharmaceuticals was the largest of 10 companies reporting payments in 2025, $417.27 in all, mostly food and beverage. Lists Cape Coral Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1326098013 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Sep 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 01061775A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (FL); Practitioner - Gastroenterology (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 420 |
|---|---|
| Services billed | 1,330 across 59 procedure codes |
| Paid by Medicare | $85,439 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,297 · 1,788 30-day fills |
|---|---|
| Patients | 683 |
| Total drug cost | $65,048 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Gastroenterology |
Medical groups
- Lee Health System IncFort Myers, FL · 1,428 clinicians
- Privia Medical Group Indiana LLCElkhart, IN · 28 clinicians
Hospital affiliations
- Cape Coral HospitalCape Coral, FL
- Elkhart General HospitalElkhart, IN
- Gulf Coast Medical Center Lee HealthFort Myers, FL
- Lee Memorial HospitalFort Myers, FL
Industry payments (Open Payments)
- 2025$417.27 · 20 payments from 10 companies
- 2024$739.61 · 29 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Madrigal Pharmaceuticals | $105.46 | 4 |
| Abbvie Inc. | $84.07 | 4 |
| Takeda Pharmaceuticals U.S.A., Inc. | $72.58 | 3 |
| Janssen Biotech, Inc. | $37.75 | 2 |
| Phathom Pharmaceuticals, Inc. | $34.67 | 2 |
What the 2025 payments were for
- Food and Beverage$417.27 · 20 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other gastroenterologists in Elkhart
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- 1710986492