Daniel E Raes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

94-126 Issued in NM

Practice address

300 W Country Club Rd
Suite# 220
Roswell, NM 88201-5202

Phone

(505) 625-1292

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Roswell Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Roswell, NM
  • NPI 1396958633
  NPD (past)
• Roswell Clinic Corp

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1649267618
  NPD (past)
• Roswell Hospital Corporation

  • Rural Health Clinic/Center
  • Dexter, NM
  • NPI 1225161474
  NPD (past)
• Roswell Hospital Corporation

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1427001759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1366439978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W COUNTRY CLUB RD",
            "address_2": "C/O MSO ADMINISTRATION",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015209",
            "telephone_number": "575-624-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W COUNTRY CLUB RD",
            "address_2": "SUITE# 220",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015202",
            "telephone_number": "505-625-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAES",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "94-126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30722",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NPI#",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delesha Qualls, PT, DPT
• Kathryn Joy Quiett
• Evaristo Quiroz
• Krista Quiroz
• Robert A Rader, MD
• Kimberly Raimer
• Shelley Ramage
• Ahmad Ramahi, MD
• Courtney Ann Ramirez, RN
• Victor Ramirez

• Family Medicine Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.