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Deactivated NPI 1073508891 Deactivated / Inactive NPI Male Practitioner

Dr. Raphael I Shapiro , MD

Surgery • Santa Fe, NM

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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, Dr. Raphael Shapiro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Raphael Shapiro, MD was a registered Surgery practicing in Santa Fe, NM. Throughout an active medical career spanning 1 years, Dr. Shapiro provided care at the practice location at 1631 HOSPITAL DR until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

1631 Hospital Dr
Suite 240

Santa Fe, NM 875054728

Telephone 5059133975
Fax 5059868001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Santa Fe, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.8 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Santa Fe, NM (251 Statewide)

Telehealth Adoption Rate
5.9% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NM 80253

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License NM 80253

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
12781 (NM)
Commercial Insurance / Payer ID Uhc
740201
Commercial Insurance / Payer ID Lovelace
10088011
Commercial Insurance / Payer ID Presbyterian Health Plans
202007840
Commercial Insurance / Payer ID Molina
PROVP16424
Commercial Insurance / Payer ID Ccn
38702
Commercial Insurance / Payer ID Bcbs Nm
NM012490 (NM)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1003858515

Doctor of Medicine (M.D.)

Darina Linnik , PA-C

Physician Assistant

NPI 1043795909

Physician Assistant (Certified)

NPI 1154613248

Doctor of Medicine (M.D.)

NPI 1396832416

Doctor of Medicine (M.D.)

Dr. Gerald Weinstein , MD

Surgery - Vascular Surgery

NPI 1477552982

Doctor of Medicine (M.D.)

Dr. Brian Hodges , DO

Orthopaedic Surgery

NPI 1497076624

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location August 12, 2010

Registered at 1631 HOSPITAL DR, SUITE 240, SANTA FE, NM 875054728 (Tel: 5059133975)

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Updated Business Mailing Address August 12, 2010

Registered at 1631 HOSPITAL DR, SUITE 240, SANTA FE, NM 875054728 (Tel: 5059133975)

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Provider Name / Credentials Updated August 12, 2010

Recorded as RAPHAEL SHAPIRO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2010

Specialist (License #80253 in NM)

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NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration September 19, 2005

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: 1073508891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2005
Last Update: August 12, 2010
Deactivation Date: March 23, 2006
Sole Proprietor: No

Mailing Address

1631 Hospital Dr, Suite 240

Santa Fe, NM 875054728

Phone: 5059133975

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.