Raquel Irene Cisneros, M.D.
Individual provider Active NPI Family Medicine Physician · Dulce, NM
NPI 1801186341 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1801186341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD2014-0075 (NM)
- Practice address
- 500 N. Mundo Dr.
Dulce, NM 87528 - Phone
- (575) 759-3291
- Fax
- (575) 759-7294
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
609 S Christopher Rd
Belen, NM 87002-2615
Phone (505) 864-5454
Hospital & facility affiliations
- Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140904002800 | TX | Practitioner - Family Practice | 3870737133 | Reassigns benefits to 3 organizations |
| I20150508001145 | NM | Practitioner - Family Practice | 3870737133 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm. | Current |
Accepting new patients | |
| Santa Ana Health Center | Current |
Accepting new patients | |
| Jicarilla IHS Pharmacy | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current |
Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Molokai Ohana Health Care, Inc. | Past |
Accepting new patients |
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
10005 E Osborn Rd
Scottsdale, AZ 85256
Phone (480) 362-7400
4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070
801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000
609 Christopher Dr
Belen, NM 87002
Phone (505) 861-1771
2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- rcisneros89283@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2014-0075 | NM | Yes |
Addresses
Primary practice location
500 N. Mundo Dr.
Dulce, NM 87528
Mailing address
PO Box 187
Dulce, NM 87528-0187
Phone (575) 759-3291
Other providers in Dulce, NM
- Katherine E Berry
- Maricela Bonilla
- Joshua Greer Carney
- Priscilla T Carrillo
- Cecilia E. Chao
- Jennifer Lea Lea Claycomb
- Diana Connell
- Susan Constance
- Samuel Taylor Cropp
- Marie Tallent Deloach
All providers in Dulce, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.