REVAZ BOUKIA PA-C
NPI 1144638859
Physician Assistant in Ashland, OR

Q: What is Revaz Boukia's NPI number?

The NPI number for Revaz Boukia is 1144638859. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Q: What is Revaz Boukia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Revaz Boukia was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 25, 2014PECOS EnrolledAccepts Medicare Assignment

280 MAPLE ST, ASHLAND, OR 97520(541) 201-4000(541) 488-7437 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Revaz Boukia Pa-c NPPES

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

REVAZ BOUKIA PA-C (NPI 1144638859) is an individual physician assistant in Ashland, Oregon, licensed in Oregon (PA228829) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Northern Nevada Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144638859

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameREVAZ BOUKIACredential: PA-C

Location Address280 MAPLE STAshland, OR 97520-1552

Mailing Address2825 E Barnett Rd, MssMedford, OR 97504-8332 · (541) 789-4281 · Fax (541) 789-4806

Phone(541) 201-4000

Fax(541) 488-7437

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 25, 2014

Last NPPES UpdateMay 6, 2026

NPPES CertifiedMay 6, 2026

✔ NPI 1144638859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · PA228829

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

280 MAPLE ST, Ashland, OR 97520

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Revaz Boukia Pa-c 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 ID4587885371

PECOS Enrollment IDI20230131001739

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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

131 services130 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

98 services95 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number290032

Location2375 E Prater WaySparks, NV 89434 · Washoe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97520 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

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. DAVID CANDELARIA M.D.

Family Medicine