DR. HEMANTKUMAR RAMANLAL RAVAL M.D.
NPI 1225478670
Internal Medicine - Pulmonary Disease in Lakeland, FL

Q: What is Hemantkumar Raval's NPI number?

The NPI number for Hemantkumar Raval is 1225478670. It was assigned to this individual provider in the NPPES registry on June 30, 2013.

Q: What is Hemantkumar Raval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Hemantkumar Raval was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 30, 2013PECOS EnrolledAccepts Medicare Assignment

80.11/100

CMS Quality Rating

2625 S FLORIDA AVE, LAKELAND, FL 33803(863) 284-5941(863) 284-5199 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2017, Apr 26, 2017 (2 updates tracked since 2017).

On this page

About Dr. Hemantkumar Ramanlal Raval M.d. NPPES

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

DR. HEMANTKUMAR RAMANLAL RAVAL M.D. (NPI 1225478670) is an individual pulmonary disease provider in Lakeland, Florida, licensed in Florida (ME124441) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1225478670

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. HEMANTKUMAR RAMANLAL RAVALCredential: M.D.

Location Address2625 S FLORIDA AVELakeland, FL 33803-3860

Mailing Address1324 Lakeland Hills Blvd, Attn: Medical Staff OfficeLakeland, FL 33805-4543

Phone(863) 284-5941

Fax(863) 284-5199

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJune 30, 2013

Last NPPES UpdateJune 20, 20172 updates tracked since enumeration

✔ NPI 1225478670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in FL · ME124441✔ Licensed in KY · TP701✔ Licensed in KY · 50457

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME124441 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2625 S FLORIDA AVE, Lakeland, FL 33803

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

Dr. Hemantkumar Ramanlal Raval M.d. 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 ID7113231754

PECOS Enrollment IDI20150727002537

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

196 services94 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

29 services25 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100157

Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33803 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

80.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.29

Promoting Interoperability

Improvement Activities

Cost

64.85

Other Providers at the Same Location NPPES 3

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

PEDIATRIC PULMONARY SPECIALISTS PA

Pediatrics (Pediatric Pulmonology)

2625 S FLORIDA AVE
LAKELAND, FL 33803

Polk County (813) 870-1995

MRS. AYANNA AMLAK JOSEPH MD

Family Medicine

2625 S FLORIDA AVE
LAKELAND, FL 33803

Polk County (863) 284-5941

ARMANDO JIMENEZ M.D.

Otolaryngology

2625 S FLORIDA AVE
LAKELAND, FL 33803

Polk County (863) 284-5941

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 Hemantkumar Raval's NPI number?

The NPI number for Hemantkumar Raval is 1225478670. It was assigned to this individual provider in the NPPES registry on June 30, 2013.

Where is Hemantkumar Raval located?

Hemantkumar Raval practices at 2625 S Florida Ave, Lakeland, FL 33803. The listed phone number is (863) 284-5941.

What is Hemantkumar Raval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hemantkumar Raval enrolled in Medicare?

Yes. Hemantkumar 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.

What insurance does Hemantkumar Raval accept?

Health plans from Molina Healthcare list Hemantkumar Raval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hemantkumar Raval affiliated with any hospitals?

According to CMS data, Hemantkumar Raval is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hemantkumar Raval was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.