DR. JAYDEEP RAVAL D.O.
NPI 1104277953
Hospitalist in Twentynine Palms, CA
About Dr. Jaydeep Raval D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAYDEEP RAVAL D.O. (NPI 1104277953) is an individual hospitalist provider in Twentynine Palms, California, licensed in Arizona (010017) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2016).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jaydeep Raval D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jaydeep Raval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85085
- Reassigned Medicare billing, Arizona enrollment
- 99 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TWENTYNINE PALMS, CA 92277
TWENTYNINE PALMS, CA 92277
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jaydeep Raval's NPI number?
The NPI number for Jaydeep Raval is 1104277953. It was assigned to this individual provider in the NPPES registry on June 23, 2016.
Where is Jaydeep Raval located?
Jaydeep Raval practices at 1145 Sturgis Rd, Twentynine Palms, CA 92277. The listed phone number is (760) 830-2483.
What is Jaydeep Raval's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Jaydeep Raval enrolled in Medicare?
Yes. Jaydeep Raval is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jaydeep Raval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaydeep Raval reassigns Medicare benefits to Vituity - Arizona Hospitalists PC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaydeep Raval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jaydeep Raval was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jaydeep Raval, D.O. · NPI 1104277953
Hospitalist physician in Twentynine Palms, California. Individual provider, active in the CMS NPPES registry since June 23, 2016.
## Identity
- **NPI:** 1104277953 (Entity type: Individual)
- **Enumerated:** June 23, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 010017 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1145 STURGIS RD, Twentynine Palms, CA 92277
- **Phone:** (760) 830-2483
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vituity - Arizona Hospitalists PC (NPI 1770109704, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2016
## Record status
- **NPPES last updated:** January 31, 2024
- **Other identifiers:** Other VAD0000
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Source: [NPI Profile](https://npiprofile.com/npi/1104277953) · Data from the CMS NPPES public registry.