Individual provider Active NPI

Ravinder S. Jarial, D.O.

  • Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1528103298
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101012845 Issued in MI
Practice address
410 Evernia St Ste 109
West Palm Beach, FL 33401-5431
Phone
(561) 249-0390
Fax
(561) 249-0421
NPI assigned
Feb 21, 2007
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 5101012845 MI
Plastic Surgery Physician 208200000X 34-007972 OH
Plastic Surgery Physician 208200000X OS9321 FL
Surgery Physician 208600000X N6386 TX
Surgery Physician 208600000X 34-007972 OH
Surgery Physician 208600000X OS 9321 FL
Plastic Surgery Physician 208200000X N6386 TX
Surgery Physician 208600000X 5101012845 MI Primary

Addresses

Primary practice location

410 Evernia St Ste 109
West Palm Beach, FL 33401-5431

Mailing address

410 Evernia St Ste 110
West Palm Beach, FL 33401-5431
Phone (561) 249-0390

Other identifiers 1

IdentifierTypeStateIssuer
H54981OtherUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201000060 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 1557422706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Evernia St
West Palm Beach, FL 33401-5431

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9321FLMDPlastic Surgery Physician
OS 9321FLMDSurgery Physician
N6386TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1528103298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EVERNIA ST STE 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015431",
            "telephone_number": "561-249-0390",
            "fax_number": "561-249-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EVERNIA ST STE 109",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015431",
            "telephone_number": "561-249-0390",
            "fax_number": "561-249-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARIAL",
        "first_name": "RAVINDER",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "5101012845",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "34-007972",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "OS9321",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N6386",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34-007972",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS 9321",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N6386",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101012845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H54981",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.