Dr Raphael Ndede Shaw, MD in Waterbury, CT - Medicare Internal Medicine

Dr Raphael Ndede Shaw, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Waterbury, Connecticut. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southwest Suffolk Medical Pc, Optum Medical Care Pc, Prospect Ct Medical Foundation Inc, Symphony Medical Pc and his current practice location is 64 Robbins St, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 673-6000.

Dr Raphael Ndede Shaw is licensed to practice in New York (license number 292465) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902218597.

Contact Information

	Dr Raphael Ndede Shaw, MD
	64 Robbins St, Waterbury, CT 06708-2600
	(203) 673-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Raphael Ndede Shaw
Gender	Male
Speciality	Internal Medicine
Experience	23 Years
Location	64 Robbins St, Waterbury, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Raphael Ndede Shaw graduated from medical school in 2003

NPI Data:

NPI Number: 1902218597
Provider Enumeration Date: 05/30/2014
Last Update Date: 07/16/2025

Medicare PECOS Information:

PECOS PAC ID: 6800168436
Enrollment ID: I20221108002449

Medical Identifiers

Medical identifiers for Dr Raphael Ndede Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902218597	NPI	-	NPPES
04842339	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	56674 (Connecticut)	Secondary
207R00000X	Internal Medicine	292465 (New York)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	56674 (Connecticut)	Secondary
208M00000X	Hospitalist	56674 (Connecticut)	Secondary
208M00000X	Hospitalist	MD28262 (Maine)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	292465 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Westchester Hospital	Mount kisco, NY	Hospital
Good Samaritan Hospital Medical Center	West islip, NY	Hospital
St John's Riverside Hospital	Yonkers, NY	Hospital
Waterbury Hospital	Waterbury, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Suffolk Medical Pc	0244396349	205
Optum Medical Care Pc	9931013240	1031
Prospect Ct Medical Foundation Inc	7416244496	291
Symphony Medical Pc	5890916068	56

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Raphael Ndede Shaw allows following entities to bill medicare on his behalf.

Entity Name	Optum Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321

Entity Name	Southwest Suffolk Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297

Entity Name	Westchester Medical Center Advanced Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Raphael Ndede Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Raphael Ndede Shaw, MD 11a Garit Ln, Larchmont, NY 10538-3314 Ph: (347) 886-3075	Dr Raphael Ndede Shaw, MD 64 Robbins St, Waterbury, CT 06708-2600 Ph: (203) 673-6000

Reviews and Comments

Internal Medicine Doctors in Waterbury, CT

Dr. Juan Fica, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1389 W Main St, Tower 2, Suite 320, Waterbury, CT 06708 Phone: 203-753-9313 Fax: 203-573-8976
Mrs. Kanthimathi Jegathesan, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 2271 East Main Street, Waterbury, CT 06705 Phone: 203-753-4131 Fax: 203-753-6887
Robert J Mcdonald, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 170 Grandview Avenue, Waterbury, CT 06708 Phone: 203-759-3666 Fax: 203-759-3671
Dr. Lydia Aoun-barakat, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 140 Grandview Ave, Suite #l01, Waterbury, CT 06708 Phone: 203-574-4187 Fax: 203-591-1453
David G. Hill, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 170 Grandview Avenue, Waterbury, CT 06708 Phone: 203-759-3666 Fax: 203-759-3671
Hiba Zeid, Infectious Disease Medicare: Medicare Enrolled Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-573-7284
Dr. Joseph D Scuderi, M.D. Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 203-709-6000

Dr Raphael Ndede Shaw, MD - Medicare Internal Medicine in Waterbury, CT