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Deactivated NPI 1134217284 Deactivated / Inactive NPI Male Practitioner

Raphael Caccese

Radiology - Diagnostic Radiology • Dover, DE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Raphael Caccese has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date October 25, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Raphael Caccese was a registered Radiology - Diagnostic Radiology practicing in Dover, DE. Throughout an active medical career spanning 11 years, Raphael Caccese provided care at the practice location at 640 S STATE STREET until profile deactivation on 2017-10-25.

Practice Location & Contact Primary Location

Practice Address

640 S State Street
Dept Of Radiology

Dover, DE 199013530

Telephone 3026742202
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Dover, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.7 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
23 Specialists

Practicing in Dover, DE (131 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License DE C1-0003794

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Michael Amygdalos

Radiology - Vascular & Interventional Radiology

NPI 1043308042
Dr. Michael Polise , DO

Radiology - Diagnostic Radiology

NPI 1083702070

Doctor of Osteopathic Medicine (D.O.)

Martin Begley

Radiology - Diagnostic Radiology

NPI 1104914258
Dr. Victoria Kong , MD

Radiology - Diagnostic Radiology

NPI 1225126386

Doctor of Medicine (M.D.)

Dr. Jeffrey Jackerson , DO

Radiology - Diagnostic Radiology

NPI 1427038280

Doctor of Osteopathic Medicine (D.O.)

Dr. Ann Scharf , MD

Radiology - Diagnostic Radiology

NPI 1669488532

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2017

Record deactivated on October 25, 2017

NPI Profile Active February 24, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2012

Registered at 640 S STATE STREET, DEPT OF RADIOLOGY, DOVER, DE 199013530 (Tel: 3026742202)

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Updated Business Mailing Address February 24, 2012

Registered at 10850 W. PARK PLACE, SUITE 1100, MILWAUKEE, WI 532243606 (Tel: 4143595745)

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Provider Name / Credentials Updated February 24, 2012

Recorded as RAPHAEL CACCESE

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2012

Radiology (License #C1-0003794 in DE)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134217284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: February 24, 2012
Deactivation Date: October 25, 2017

Mailing Address

10850 W. Park Place, Suite 1100

Milwaukee, WI 532243606

Phone: 4143595745

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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