Active NPI
Leopold Joseph Raschbaum, M.D.
- Emergency Medicine Physician
- Santa Teresa, NM
National Provider Identifier
1659320661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 85-88
- Practice address
- 1074 Country Club Rd
Building a-4
Santa Teresa, NM 88008-9757 - Phone
- (915) 820-2362
- Fax
- (505) 589-3021
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 85-88 | NM | Primary |
Addresses
Primary practice location
1074 Country Club Rd
Building a-4
Santa Teresa, NM 88008-9757
Mailing address
1074 Country Club Rd
Building a-4
Santa Teresa, NM 88008-9757
Phone (915) 820-2362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000K4535 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-88 | NM | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Vista Hospital | Past | Accepting new patients | |
| Sierra Vista Hospital | Past | Accepting new patients | |
| Deming Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Deming, NM
- NPI 1386850519
-
- Rural Health Clinic/Center
- Truth Or Consequences, NM
- NPI 1689638942
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
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": "1183852800000",
"number": "1659320661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1074 COUNTRY CLUB RD",
"address_2": "BUILDING A-4",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089757",
"telephone_number": "915-820-2362",
"fax_number": "505-589-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1074 COUNTRY CLUB RD",
"address_2": "BUILDING A-4",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089757",
"telephone_number": "915-820-2362",
"fax_number": "505-589-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASCHBAUM",
"first_name": "LEOPOLD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "85-88",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000K4535",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Teresa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.