Active NPI
Jeffrey Ronald Raval, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Denver, CO
National Provider Identifier
1154423291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 39382
- Practice address
- 950 E Harvard Ave
Ste #500
Denver, CO 80210-7009 - Phone
- (303) 744-1961
- Fax
- (303) 744-1110
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 39382 | CO | Primary |
Addresses
Primary practice location
950 E Harvard Ave
Ste #500
Denver, CO 80210-7009
Mailing address
950 E Harvard Ave
Ste #500
Denver, CO 80210-7009
Phone (303) 744-1961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12885533 | Medicaid | CO | |
| 39382 | Other | CO | STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154423291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E HARVARD AVE",
"address_2": "STE #500",
"city": "DENVER",
"state": "CO",
"postal_code": "802107009",
"telephone_number": "303-744-1961",
"fax_number": "303-744-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E HARVARD AVE",
"address_2": "STE #500",
"city": "DENVER",
"state": "CO",
"postal_code": "802107009",
"telephone_number": "303-744-1961",
"fax_number": "303-744-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVAL",
"first_name": "JEFFREY",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CO",
"license": "39382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12885533",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "39382",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.