NPIMap

Individual provider Active NPI

Tejas Harish Raval, M.D.

  • Otolaryngology Physician
  • Colonial Heights, VA
National Provider Identifier
1992827356
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101250918 Issued in VA
Practice address
241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915
Phone
(804) 765-5320
Fax
(804) 765-5325
NPI assigned
Apr 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101250918 VA Primary

Addresses

Primary practice location

241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 765-5320

Other identifiers 1

IdentifierTypeStateIssuer
1992827356MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120222000274 VA Practitioner - Otolaryngology 4082768544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

13710 St Francis Blvd
Midlothian, VA 23114-3267

1510 N 28TH St
Richmond, VA 23223-5311

241 Charles H Dimmock Pkwy
Suite 6
Colonial Heights, VA 23834-2915
Phone (804) 765-5320

40 Medical Park Blvd
Petersburg, VA 23805-9289

Hospital & facility affiliations

  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as individual
Quality
72.51
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250918VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Concentra UC Past Accepting new patients
Ethos Primary Care PC Past Accepting new patients

Locations

241 Charles H Dimmock Pkwy
Ste 6
Colonial Heights, VA 23834
Phone (804) 526-1111

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

13710 St Francis Blvd
Ste 511
Midlothian, VA 23114
Phone (804) 423-8467

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

40 Medical Park Blvd
Ste B
Petersburg, VA 23805
Phone (804) 520-6730

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: traval1154952@direct.bsmhealth.org

Organizations & group practices 4

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1992827356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "telephone_number": "804-765-5320",
            "fax_number": "804-765-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CHARLES H DIMMOCK PKWY STE 6",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342915",
            "telephone_number": "804-765-5320",
            "fax_number": "804-765-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "TEJAS",
        "middle_name": "HARISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101250918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992827356",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.