AMAR RAVAL
NPI 1346530755
Urology in Palm Harbor, FL

Q: What is Amar Raval's NPI number?

The NPI number for Amar Raval is 1346530755. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Q: What is Amar Raval's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Amar Raval was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

35095 US HIGHWAY 19 N STE 202, PALM HARBOR, FL 34684(727) 771-0600 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 22, 2020, Aug 15, 2017, Aug 7, 2017 (3 updates tracked since 2017).

On this page

About Amar Raval NPPES

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

AMAR RAVAL (NPI 1346530755) is an individual urology provider in Palm Harbor, Florida, licensed in Florida (ME133026) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346530755

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameAMAR RAVAL

Location Address35095 US HIGHWAY 19 N STE 202Palm Harbor, FL 34684-1971

Mailing Address12109 County Road 103Oxford, FL 34484-2951 · (352) 205-8981 · Fax (352) 391-9498

Phone(727) 771-0600

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 19, 2011

Last NPPES UpdateSeptember 22, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2020

✔ NPI 1346530755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in FL · ME133026

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

35095 US HIGHWAY 19 N STE 202, Palm Harbor, FL 34684

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, 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

Amar 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 ID8820211881

PECOS Enrollment IDI20170921000725

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 23

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.

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.

811 services434 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

402 services275 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

281 services205 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

111 services111 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

106 services22 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

95 services73 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

84 services76 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

83 services75 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

71 services59 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

55 services54 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

38 services30 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.

36 services31 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.

30 services29 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

27 services27 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

24 services13 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

23 services23 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

21 services21 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

21 services21 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

20 services19 patients

Removal or manipulation of stone in ureter or kidney using an endoscope 52352

This procedure involves using a thin, flexible instrument called an endoscope to locate and remove or break down stones in the urinary tract. It's a non-invasive method that helps to alleviate discomfort and improve urinary function.

20 services19 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

20 services19 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

19 services17 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100043

Location601 Main StDunedin, FL 34698 · Pinellas County

Emergency services

Morton Plant North Bay Hospital

Acute Care Hospitals · New Port Richey, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100063

Location6600 Madison StNew Port Richey, FL 34652 · Pasco County

Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Hca Florida Trinity Hospital

Acute Care Hospitals · Trinity, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100191

Location9330 Sr 54Trinity, FL 34655 · Pasco County

Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100265

Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers33 claims8,550 services$1.73 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MIRANDA L STEININGER APRN

Nurse Practitioner (Family)

35095 US HIGHWAY 19 N STE 202
PALM HARBOR, FL 34684

Pinellas County (727) 771-0600

JILLIAN WYNN PA

Physician Assistant (Medical)

35095 US HIGHWAY 19 N STE 202
PALM HARBOR, FL 34684

Pinellas County (727) 771-0600

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 Amar Raval's NPI number?

The NPI number for Amar Raval is 1346530755. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Where is Amar Raval located?

Amar Raval practices at 35095 Us Highway 19 N Ste 202, Palm Harbor, FL 34684. The listed phone number is (727) 771-0600.

What is Amar Raval's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Amar Raval enrolled in Medicare?

Yes. Amar 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 Amar Raval accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Amar 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 Amar Raval affiliated with any hospitals?

According to CMS data, Amar Raval is affiliated with Mease Dunedin Hospital, Morton Plant North Bay Hospital, St Josephs Hospital, Hca Florida Trinity Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Amar Raval was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.