NPIMap

Individual provider Active NPI

Rahul Ravilla, M.D

  • Hematology & Oncology Physician
  • Albany, NY
National Provider Identifier
1003171778
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
294216 Issued in NY
Practice address
43 New Scotland Ave Ste 7
Albany, NY 12208-3412
Phone
(518) 262-6696
Fax
(518) 262-2624
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 294216 NY Primary

Addresses

Primary practice location

43 New Scotland Ave Ste 7
Albany, NY 12208-3412

Mailing address

449 Route 146 Ste 101
Halfmoon, NY 12065-3239
Phone (518) 373-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802001678 NY Practitioner - Hematology/Oncology 9032435722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Oncology Hematology PCGroup PAC ID 3072406222, 82 clinicians

Practice addresses (Care Compare)

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-6696

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294216NYMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York Oncology Hematology PC CurrentSince Jul 3, 2019 Accepting new patients
New York Oncology Hematology, P.C. Hematology & Oncology CurrentSince Jul 3, 2019 Accepting new patients

Locations

43 New Scotland Ave
Ste 7
Albany, NY 12208
Phone (518) 262-6696

400 Patroon Creek Blvd
Ste 1
Albany, NY 12206
Phone (518) 399-4600

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

1700 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 483-0020

449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800

3 Crossing Blvd
Ste 1
Halfmoon, NY 12065
Phone (518) 831-4434

69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173

896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1003171778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 ROUTE 146 STE 101",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653239",
            "telephone_number": "518-373-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE STE 7",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-6696",
            "fax_number": "518-262-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVILLA",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "294216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.