Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1528025921 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Cetrulo , MD

Surgery • Taos, NM

⚠️

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. Stephen Cetrulo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 28, 2006
NPI Deactivation Date July 17, 2007
Total Practice Duration ~1 Years of Practice (2006 – 2007)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Cetrulo, MD was a registered Surgery practicing in Taos, NM. Throughout an active medical career spanning 1 years, Dr. Cetrulo provided care at the practice location at 1399 WEIMER RD until profile deactivation on 2007-07-17.

Practice Location & Contact Primary Location

Practice Address

1399 Weimer Rd
600

Taos, NM 87571

Telephone 5757510334
Fax 5757510297
Associated Practice Facility / Clinic
🏢 Mountain Medical Supply Inc Facility NPI 1275547044

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Taos, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.7 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Taos, NM (251 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NM 74-132

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1073536322

Doctor of Medicine (M.D.)

NPI 1164484002

Doctor of Medicine (M.D.)

NPI 1396731899

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
⚠️
NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

📍
Updated Practice Location September 01, 2011

Registered at 1399 WEIMER RD, 600, TAOS, NM 87571 (Tel: 5757510334)

📍
Updated Business Mailing Address September 01, 2011

Registered at 1399 WEIMER RD, 600, TAOS, NM 87571 (Tel: 5757510334)

👤
Provider Name / Credentials Updated September 01, 2011

Recorded as STEPHEN CETRULO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2011

Surgery (License #74-132 in NM)

🔄
NPI Profile Reactivated August 09, 2007

Record officially reactivated for active practice on August 09, 2007

⚠️
NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

🟢
Initial NPI Registration & Enumeration April 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Stephen Cetrulo. Be the first to share your experience!

Sign in to leave a review for Dr. Stephen Cetrulo

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1528025921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2006
Last Update: September 01, 2011
Deactivation Date: July 17, 2007

Mailing Address

1399 Weimer Rd, 600

Taos, NM 87571

Phone: 5757510334

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.