NPIMap

Individual provider Active NPI

Raquel Irene Cisneros, M.D.

  • Family Medicine Physician
  • Dulce, NM
National Provider Identifier
1801186341
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2014-0075 Issued in NM
Practice address
500 N. Mundo Dr.
Dulce, NM 87528
Phone
(575) 759-3291
Fax
(575) 759-7294
NPI assigned
Apr 18, 2011
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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 MD2014-0075 NM Primary

Addresses

Primary practice location

500 N. Mundo Dr.
Dulce, NM 87528

Mailing address

PO Box 187
Dulce, NM 87528-0187
Phone (575) 759-3291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140904002800 TX Practitioner - Family Practice 3870737133 Reassigns benefits to 3 organizations
I20150508001145 NM Practitioner - Family Practice 3870737133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

609 S Christopher Rd
Belen, NM 87002-2615
Phone (505) 864-5454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm. CurrentSince Jul 10, 2016 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Jicarilla IHS Pharmacy CurrentSince Mar 5, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 11, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 10, 2016 Accepting new patients
Santa Ana Health Center CurrentSince Aug 4, 2014 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 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

  • Direct secure messaging: rcisneros89283@direct.phs.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1801186341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "875280187",
            "telephone_number": "575-759-3291",
            "fax_number": "575-759-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N. MUNDO DR.",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "87528",
            "telephone_number": "575-759-3291",
            "fax_number": "575-759-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "RAQUEL",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2014-0075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dulce, NM

Sources for this page

Verify at the official NPI Registry.