LARISA Y RAVDEL MD
NPI 1407007461
General Practice in Aurora, CO

Q: What is Larisa Ravdel's NPI number?

The NPI number for Larisa Ravdel is 1407007461. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Q: What is Larisa Ravdel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Larisa Ravdel was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 08, 2008PECOS Enrolled

1421 S POTOMAC ST STE 320, AURORA, CO 80012(303) 750-1920(303) 750-0483 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larisa Y Ravdel Md NPPES

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

LARISA Y RAVDEL MD (NPI 1407007461) is an individual general practice provider in Aurora, Colorado, licensed in Iowa (40458) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407007461

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameLARISA Y RAVDELCredential: MD

Location Address1421 S POTOMAC ST STE 320Aurora, CO 80012-4512

Mailing Address1421 S Potomac St Ste 320Aurora, CO 80012-4512 · (303) 750-1920 · Fax (303) 750-0483

Phone(303) 750-1920

Fax(303) 750-0483

Sole ProprietorNo

Enumeration DateOctober 8, 2008

Last NPPES UpdateJune 13, 2013

✔ NPI 1407007461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IA · 40458

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1421 S POTOMAC ST STE 320, Aurora, CO 80012

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Other Identifiers 2

Medicare PIN719260559IA

Medicaid1407007461IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larisa Y Ravdel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

NEW WEST PHYSICIANS INC

Family Medicine