DR. RAPHAEL NDEDE SHAW MD
NPI 1902218597
Internal Medicine - Infectious Disease in Waterbury, CT
About Dr. Raphael Ndede Shaw Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAPHAEL NDEDE SHAW MD (NPI 1902218597) is an individual infectious disease provider in Waterbury, Connecticut, licensed in New York (292465) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and maintains a secondary practice location in Brunswick.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Raphael Ndede Shaw Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Raphael Shaw reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
Smithtown, NY 11787
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Southwest Suffolk Medical PC
- 348 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 clinicians in this Medicare group
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 clinicians in this Medicare group
Dobbs Ferry, NY 10522
- Reassigned Medicare billing, New York enrollment
- 130 clinicians in this Medicare group
Baton Rouge, LA 70816
- Reassigned Medicare billing, Connecticut enrollment
- 127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Westchester Hospital
Acute Care Hospitals · Mount Kisco, NYSt John's Riverside Hospital
Acute Care Hospitals · Yonkers, NYGood Samaritan Hospital Medical Center
Acute Care Hospitals · West Islip, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERBURY, CT 06708
WATERBURY, CT 06708
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raphael Shaw's NPI number?
The NPI number for Raphael Shaw is 1902218597. It was assigned to this individual provider in the NPPES registry on May 30, 2014.
Where is Raphael Shaw located?
Raphael Shaw practices at 64 Robbins St, Waterbury, CT 06708. The listed phone number is (203) 673-6000.
What is Raphael Shaw's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Raphael Shaw enrolled in Medicare?
Yes. Raphael Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Raphael Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Shaw reassigns Medicare benefits to 7 organizations: Prospect Ct Medical Foundation, Inc. (Manchester, CT), Optum Medical Care, P.C. (Mount Kisco, NY), Southwest Suffolk Medical, P.C. (Smithtown, NY), William W Backus Hospital (Norwich, CT), Westchester Medical Center Advanced Physician Services PC (Valhalla, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raphael Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raphael Shaw accept?
Health plans from Taro Health list Raphael Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Raphael Shaw affiliated with any hospitals?
According to CMS data, Raphael Shaw is affiliated with Northern Westchester Hospital, St John's Riverside Hospital and Good Samaritan Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Raphael Shaw was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Raphael Ndede Shaw, MD · NPI 1902218597
Infectious Disease physician in Waterbury, Connecticut. Individual provider, active in the CMS NPPES registry since May 30, 2014.
## Identity
- **NPI:** 1902218597 (Entity type: Individual)
- **Enumerated:** May 30, 2014
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 292465 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 64 ROBBINS ST, Waterbury, CT 06708-2600
- **Phone:** (203) 673-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT); Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY); Southwest Suffolk Medical, P.C. (NPI 1104096049, Smithtown, NY); William W Backus Hospital (NPI 1730243536, Norwich, CT); Westchester Medical Center Advanced Physician Services PC (NPI 1740687458, Valhalla, NY); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** July 16, 2025
- **Other identifiers:** Medicaid 04842339 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1902218597) · Data from the CMS NPPES public registry.