Individual provider Active NPI

Stephanie Jeanne Rael, MD

  • Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1588860381
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2012-0648 Issued in NM
Practice address
10511 Golf Course Rd NW
Albuquerque, NM 87114-5916
Phone
(505) 262-7281
Fax
(505) 262-7622
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X RS2007-0352 NM
Surgery Physician 208600000X MD2012-0648 NM Primary

Addresses

Primary practice location

10511 Golf Course Rd NW
Albuquerque, NM 87114-5916

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028
Phone (505) 262-7915

Other practice location 1

2901 Transport St SE
Albuquerque, NM 87106-4382
Phone (505) 262-7281

Other practice location 2

1 University of New Mexico
Albq., NM 87131
Phone (505) 272-2165

Other identifiers 3

IdentifierTypeStateIssuer
NMA102892OtherNMMEDICARE
27404820MedicaidNM
RS2007-0352OtherNMTRAINING LICENCE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000804 NM Practitioner - General Surgery 1153570528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-3975

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RS2007-0352NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
St Vincent Hospital Current Accepting new patients
St. Vincent Hospital Surgery CurrentSince Jun 10, 2021 Accepting new patients
Unm Medical Group Inc CurrentSince Jan 1, 2016 Accepting new patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients

Locations

1631 Hospital Dr
Ste 240
Santa Fe, NM 87505
Phone (505) 913-3975

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: srael254388@christushealth.direct-ci.net
  • Direct secure messaging: srael10464@ahs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1588860381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028",
            "telephone_number": "505-262-7915",
            "fax_number": "505-232-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145916",
            "telephone_number": "505-262-7281",
            "fax_number": "505-262-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Transport St SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064382",
            "country_code": "US",
            "telephone_number": "505-262-7281",
            "fax_number": "505-262-7622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albq.",
            "state": "NM",
            "postal_code": "87131",
            "country_code": "US",
            "telephone_number": "505-272-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAEL",
        "first_name": "STEPHANIE",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "RS2007-0352",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2012-0648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NMA102892",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27404820",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING LICENCE",
            "identifier": "RS2007-0352",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.