Individual provider Active NPI

Ramon Schafer Jr., DO

  • Family Medicine Physician
  • Pine Hill, NM
National Provider Identifier
1720515828
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2023-1058 Issued in NM
Practice address
PO Box 310
Pinehill, NM 87357-0310
Phone
(505) 775-3271
NPI assigned
May 19, 2017
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2023-1058 NM Primary

Addresses

Primary practice location

PO Box 310
Pinehill, NM 87357-0310

Mailing address

PO Box 310
Pinehill, NM 87357-0310
Phone (505) 775-3271

Other identifiers 1

IdentifierTypeStateIssuer
46239731MedicaidNM

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
I20230907003732 NM Practitioner - Family Practice 8729419502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rocky Vista University College of Osteopathic Med, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Ramah Navajo School Board, IncGroup PAC ID 1153332150, 5 clinicians

Practice addresses (Care Compare)

Bia Route 140
Pinehill, NM 87357-0310
Phone (505) 775-3271

PO Box
Suite 310
Pinehill, NM 87357-0310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2023-1058NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramah Navajo School Board, Inc CurrentSince Oct 5, 2024 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Aug 23, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients

Locations

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

Organizations & group practices 4

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1720515828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "PINEHILL",
            "state": "NM",
            "postal_code": "873570310",
            "telephone_number": "505-775-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "PINEHILL",
            "state": "NM",
            "postal_code": "873570310",
            "telephone_number": "505-775-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "DO2023-1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46239731",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Hill, NM

Sources for this page

Verify at the official NPI Registry.