RAVEN BOONE
NPI 1134706179
Internal Medicine - Infectious Disease in Philadelphia, PA

Q: What is Raven Boone's NPI number?

The NPI number for Raven Boone is 1134706179. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Raven Boone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Raven Boone was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3807(215) 707-4414 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2026, Dec 8, 2021, Mar 25, 2021 (3 updates tracked since 2021).

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About Raven Boone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN BOONE (NPI 1134706179) is an individual infectious disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS025662) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1134706179

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameRAVEN BOONE

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address3500 N Broad St Rm 1aPhiladelphia, PA 19140-4106 · (215) 707-2433

Phone(215) 707-3807

Fax(215) 707-4414

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 25, 2021

Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1134706179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in PA · OS025662

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

3401 N BROAD ST, Philadelphia, PA 19140

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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

Raven Boone 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.

PECOS PAC ID4688075799

PECOS Enrollment IDI20260318001807

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Raven Boone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Temple Faculty Practice Plan Inc

Same address

Addiction Medicine

3401 N BROAD ST
Philadelphia, PA 19140

Reassigned Medicare billing, Pennsylvania enrollment
1,991 clinicians in this Medicare group

NPI 1235611179 (215) 707-1622

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390027

Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMIE L. GARFIELD MD

Internal Medicine