Individual provider Active NPI

Olivier Jean De Raet, M.D., MBA

  • Hospitalist Physician
  • Washington, DC
National Provider Identifier
1780870063
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD210002863 Issued in DC
Practice address
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone
(202) 537-4560
Fax
(202) 537-4006
NPI assigned
Sep 19, 2007
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 49076 CO
Hospitalist Physician 208M00000X 49076 CO
Hospitalist Physician 208M00000X MD210002863 DC Primary

Addresses

Primary practice location

5255 Loughboro Rd NW
Washington, DC 20016-2633

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-0000

Other practice location 1

106 Blanca Ave.
San Luis Valley Regional Medical Center
Alamosa, CO 81101
Phone (719) 589-2511

Other practice location 2

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Other practice location 3

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Other identifiers 1

IdentifierTypeStateIssuer
71274766MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmc@direct.slvrmc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DC, WY, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110412000886 CO Practitioner - Internal Medicine 5395929541 Reassigns benefits to 5 organizations
I20230123000511 DC Practitioner - Hospitalist 5395929541 Reassigns benefits to 1 organization
I20230321003074 WY Practitioner - Internal Medicine 5395929541 Reassigns benefits to 2 organizations
I20241023004940 WV Practitioner - Internal Medicine 5395929541 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preston Memorial Hospital CorporationGroup PAC ID 5294645107, shared by 3 NPIs, 46 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

140 Middletown Loop
Fairmont, WV 26554-8701
Phone (304) 333-1150

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49076COMDInternal Medicine Physician
MD210002863DCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Memorial Hospital Corporation CurrentSince May 31, 2025 Accepting new patients
Valley View Hospital Association Internal Medicine CurrentSince Nov 22, 2022 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Mar 1, 2022 Accepting new patients
Mark a Norden M.D.,PC Internal Medicine CurrentSince Oct 14, 2018 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Jun 7, 2023 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. Hospitalist CurrentSince Oct 20, 2025 Accepting new patients
Monongalia County General Hospital Company Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Valley View Hospital Association CurrentSince Nov 22, 2022 Accepting new patients
West Park Hospital District CurrentSince Nov 22, 2023 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Mar 1, 2022 Accepting new patients
Inpatient Services, PC Internal Medicine Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Yampa Valley Medical Center CurrentSince Feb 26, 2024 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince May 31, 2025 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Jun 7, 2023 Accepting new patients
Yampa Valley Medical Center CurrentSince Feb 26, 2024 Accepting new patients
THS Physician Partners Inc Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
West Park Hospital District CurrentSince Nov 22, 2023 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Sound Physicians of Wyoming, LLC Internal Medicine CurrentSince Dec 16, 2022 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients
Lucy Webb Hayes National Training School for Deaconesses & Missionarie Past Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. PastSince Apr 25, 2021 Accepting new patients

Locations

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

8451 Pearl St
Thornton, CO 80229
Phone (303) 227-9981

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

L3539
Columbus, OH 43260
Phone (304) 414-4800

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24
  • Direct secure messaging: oderaet1027955@direct.hopkinsmedicine.org
  • Direct secure messaging: vvh_him@direct.vvh.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 5

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1780870063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LOUGHBORO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162633",
            "telephone_number": "202-537-4560",
            "fax_number": "202-537-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Blanca Ave.",
            "address_2": "San Luis Valley Regional Medical Center",
            "address_purpose": "LOCATION",
            "city": "Alamosa",
            "state": "CO",
            "postal_code": "81101",
            "country_code": "US",
            "telephone_number": "719-589-2511",
            "fax_number": "719-589-1372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371141",
            "country_code": "US",
            "telephone_number": "304-329-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE RAET",
        "first_name": "OLIVIER",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D., MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "49076",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "49076",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DC",
            "license": "MD210002863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71274766",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmc@direct.slvrmc.org",
            "affiliation": "N",
            "endpointDescription": "San Luis Valley Health- RMC Olivier de Raet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "106 Blanca Ave.",
            "address_2": "San Luis Valley Regional Medical Center",
            "city": "Alamosa",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.