Raul Octaviani, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

229974 Issued in MA

Practice address

Baystate Medical Ctr
759 Chestnut Street
Springfield, MA 01199-0001

Phone

(413) 794-0000

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4

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.

• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Medicare reassignment NPD
• Huron Laboratory SVC PC

  • Anatomic Pathology Physician
  • Huron, SD
  • NPI 1437155744
  NPD
• Huron Regional Medical Center, Inc

  • Critical Access Hospital Clinic/Center
  • Huron, SD
  • NPI 1376779777
  NPD
• Cogent Healthcare of Brockton PC

  • Internal Medicine Physician
  • Ware, MA
  • NPI 1558623777
  NPD (past)
• Huron SD Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Huron, SD
  • NPI 1376190371
  NPD (past)
• Women'S Wellness Center, Prof. L.L.C.

  • Clinic/Center
  • Huron, SD
  • NPI 1598051708
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1831204890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ACREBROOK DR",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202103",
            "telephone_number": "888-263-4746",
            "fax_number": "888-263-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYSTATE MEDICAL CTR",
            "address_2": "759 CHESTNUT STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011990001",
            "telephone_number": "413-794-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCTAVIANI",
        "first_name": "RAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "229974",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yhidda Ocasio
• Occupational Health Centers of the Southwest P.a.
• Karina Ochoa Regalado
• Juliet Ochoa
• Jeffrey J. Ochs, M.D.
• Oculoplastics, LLC
• Isaiah Odean
• Marsha Kay Odell
• Gregory S Odierna, DMD
• Bonnie Odonnell, MSW

• Internal Medicine Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.