NPIMap

Individual provider Active NPI

Enrique Daza Racines, M.D.

  • Surgery Physician
  • Bethesda, MD
National Provider Identifier
1649229634
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D42181 Issued in MD
Practice address
5602B Shields Dr
Bethesda, MD 20817-3571
Phone
(301) 897-0044
Fax
(301) 897-0046
NPI assigned
May 8, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19033 DC
Surgery Physician 208600000X D42181 MD Primary
Trauma Surgery Physician 2086S0127X BD42181 MD

Addresses

Primary practice location

5602B Shields Dr
Bethesda, MD 20817-3571

Mailing address

5602B Shields Dr
Bethesda, MD 20817-3571
Phone (301) 897-0044

Other identifiers 3

IdentifierTypeStateIssuer
415096100MedicaidMD
025430100MedicaidDC
040064400MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19033DCMDSurgery Physician
D42181MDMDSurgery Physician
BD42181MDMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Metropolitan Practice Plan Trauma Surgery Past Accepting new patients
Frederick C. Finelli MD Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Premier Physician Group, LLC Surgery Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1649229634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602B SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173571",
            "telephone_number": "301-897-0044",
            "fax_number": "301-897-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602B SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173571",
            "telephone_number": "301-897-0044",
            "fax_number": "301-897-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAZA RACINES",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "19033",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D42181",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MD",
            "license": "BD42181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415096100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025430100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040064400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.