NPIMap

Individual provider Active NPI

Paul William Rava, MPAS, PA-C

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1659840957
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13624 Issued in TX
Practice address
10765 Kenworthy St Ste a
El Paso, TX 79924-1748
Phone
(915) 308-2060
NPI assigned
Nov 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13624 TX Primary
Military Health Care Provider 171000000X 1158127 VA

Addresses

Primary practice location

10765 Kenworthy St Ste a
El Paso, TX 79924-1748

Mailing address

6448 Casper RDG
El Paso, TX 79912-8129
Phone (949) 689-7402

Other practice location 1

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220607002767 TX Practitioner - Physician Assistant 6204214000 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

12101 Edgemere Blvd
El Paso, TX 79938-4746
Phone (915) 921-6610

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1158127VAMDMilitary Health Care Provider
PA13624TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 1, 2024 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2024 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 1, 2024 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
Texas Tech University Health Sciences Center El Paso Physician Assistant PastSince Sep 1, 2021 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

12101 Edgemere Blvd
El Paso, TX 79938
Phone (915) 832-2490

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Organizations & group practices 9

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1659840957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 CASPER RDG",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128129",
            "telephone_number": "949-689-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10765 KENWORTHY ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241748",
            "telephone_number": "915-308-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-4600",
            "fax_number": "915-545-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVA",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13624",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "1158127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.