DR. JAY SUMAN RAVAL M.D.
NPI 1508002684
Pathology - Blood Banking & Transfusion Medicine in Los Ranchos, NM
About Dr. Jay Suman Raval M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAY SUMAN RAVAL M.D. (NPI 1508002684) is an individual blood banking & transfusion medicine provider in Los Ranchos, New Mexico, licensed in New Mexico (MD2018-0755) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and maintains a secondary practice location in Pittsburgh.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jay Suman 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jay Raval reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Univ. Of Vermont - Fletcher Allen Health Care
Acute Care Hospitals · Burlington, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jay Raval's NPI number?
The NPI number for Jay Raval is 1508002684. It was assigned to this individual provider in the NPPES registry on December 19, 2008.
Where is Jay Raval located?
Jay Raval practices at 5801 Tinnin Rd NW, Los Ranchos, NM 87107. The listed phone number is (919) 618-3621.
What is Jay Raval's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Blood Banking & Transfusion Medicine, with taxonomy code 207ZB0001X.
Is Jay Raval enrolled in Medicare?
Yes. Jay 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.
Which organizations bill Medicare for Jay Raval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jay Raval reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and University Of Vermont Medical Center Inc (Burlington, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Raval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jay Raval accept?
Health plans from Anthem Blue Cross and Blue Shield list Jay 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 Jay Raval affiliated with any hospitals?
According to CMS data, Jay Raval is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.
When was this NPI record last updated?
The NPPES record for Jay Raval was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.