Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Raphael Ndede Shaw, MD

Individual provider Internal Medicine Physician · NPI 1902218597

Dr. Raphael Ndede Shaw, MD is an Internal Medicine in Waterbury, Connecticut. Qualified in 2003, 23 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, Maine and New York.

Years since qualifying
23
Licensed in
CT, ME, NY
In the registry since
2014
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

64 Robbins St
Waterbury, CT 06708-2600
Phone: (203) 673-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123 Medical Center Dr, Brunswick, ME 04011-2652 — (207) 373-6000

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 292465 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 56674 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 292465 (NY)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 56674 (CT)
Hospitalist Physician Taxonomy 208M00000X · Licence 56674 (CT)
Hospitalist Physician Taxonomy 208M00000X · Licence MD28262 (ME)

Record details

NPI number1902218597
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2014
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address11a Garit Ln, Larchmont, NY 10538-3314

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southwest Suffolk Medical Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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