Active NPI
Herbert V Rachelson, MD
- Orthopaedic Surgery Physician
- Espanola, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 76-249
- Practice address
- Espanola Multi-Specialty Clinic
1010 Spruce St
Espanola, NM 87532 - Phone
- (505) 367-0340
- Fax
- (505) 367-0346
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 76-249 | NM | |
| Orthopaedic Surgery Physician | 207X00000X | 76-249 | NM | Primary |
Addresses
Primary practice location
Espanola Multi-Specialty Clinic
1010 Spruce St
Espanola, NM 87532
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22384 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76-249 | NM | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Family Practice Associates of Taos | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Family Practice Associates of Taos | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
630 Paseo del Pueblo Sur
Ste 150
Taos, NM 87571
Phone (505) 758-3005
630 S Santa Fe Rd
Taos, NM 87571
Phone (505) 758-3005
Interoperability endpoints
- hrachelson15972@direct.phs.org
- https://api.platform.athenahealth.com/2635/brand/1/csg/1/fhir/r4
- herbert.rachelson.1@2635.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Taos, NM
- NPI 1881619864
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Physiological Laboratory
- Taos, NM
- NPI 1407195233
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1104971886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-5356",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ESPANOLA MULTI-SPECIALTY CLINIC",
"address_2": "1010 SPRUCE ST",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "87532",
"telephone_number": "505-367-0340",
"fax_number": "505-367-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHELSON",
"first_name": "HERBERT",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NM",
"license": "76-249",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NM",
"license": "76-249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22384",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.