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PRIYANKA RAVAL
NPI 1235427675
Internal Medicine - Hematology & Oncology in Augusta, GA

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912(706) 721-6744 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priyanka Raval NPPES

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

PRIYANKA RAVAL (NPI 1235427675) is an individual hematology & oncology provider in Augusta, Georgia, licensed in Georgia (78222) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1235427675
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NamePRIYANKA RAVAL
Location Address1411 LANEY WALKER BLVDAugusta, GA 30912-0002
Mailing Address1120 15th Street, Baa 5407Augusta, GA 30912-3001 · (706) 721-2505
Phone(706) 721-6744
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 19, 2011
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1235427675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 78222
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2011012664 (MO)
1411 LANEY WALKER BLVD, Augusta, GA 30912
Open in Google Maps ↗

Secondary Practice Location 1

Location 16420 Clayton Rd, DEPARTMENT OF INTERNAL MEDICINE (Suite #2214 )Saint Louis, MO 63117-1811 · Phone (501) 766-8875

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Priyanka Raval 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 ID9436440112
PECOS Enrollment IDI20180716001959
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services38 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.
84 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services67 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services36 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 14

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

MRS. SARAH DEEN
Dietitian, Registered
1411 LANEY WALKER BLVD, AN1301
AUGUSTA, GA 30912
Richmond County (706) 721-0507
EDIDIONG RAPHAEL USORO MD MS PHD
Student in an Organized Health Care Education/Training Program
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-6744
MISS MADELEINE NICOLE TJOELKER MS, CGC
Genetic Counselor, MS
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (067) 211-6767
JACEY LAINE DEVAUGHN NP
Nurse Practitioner (Family)
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-2505
MISS RANDALYNN ELMORE HAJEK RD
Dietitian, Registered
1411 LANEY WALKER BLVD, AN1301
AUGUSTA, GA 30912
Richmond County (706) 721-0507
LAUREN MULLINAX MCCLURE PA-C
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-6744
KATHERINE LORRAINE FOSS PA-C
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-6744
MS. RESHMA THANKAM BENNY PA-C
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-6744

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 Priyanka Raval's NPI number?

The NPI number for Priyanka Raval is 1235427675. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Priyanka Raval located?

Priyanka Raval practices at 1411 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-6744.

What is Priyanka Raval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Priyanka Raval enrolled in Medicare?

Yes. Priyanka 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 Priyanka Raval accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Priyanka 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 Priyanka Raval affiliated with any hospitals?

According to CMS data, Priyanka Raval is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Priyanka Raval was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.