DHAVAL RAVAL
NPI 1528214947
Internal Medicine - Critical Care Medicine in Birmingham, AL

Q: What is Dhaval Raval's NPI number?

The NPI number for Dhaval Raval is 1528214947. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Q: What is Dhaval Raval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Dhaval Raval was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 18, 2008PECOS EnrolledAccepts Medicare Assignment

84.17/100

CMS Quality Rating

1717 6TH AVE S, BIRMINGHAM, AL 35233(800) 822-8816 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2022, Oct 20, 2022, Jul 16, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Dhaval Raval NPPES

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

DHAVAL RAVAL (NPI 1528214947) is an individual critical care medicine provider in Birmingham, Alabama, licensed in Alabama (34542) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528214947

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDHAVAL RAVAL

Location Address1717 6TH AVE SBirmingham, AL 35233-1801

Mailing Address1717 6th Ave SBirmingham, AL 35233-1801

Phone(800) 822-8816

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 18, 2008

Last NPPES UpdateJune 29, 20235 updates tracked since enumeration

NPPES CertifiedJuly 16, 2020

✔ NPI 1528214947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in AL · 34542

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1717 6TH AVE S, Birmingham, AL 35233

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Secondary Practice Location 1

Location 11900 University BlvdBirmingham, AL 35233-2060 · Phone (205) 996-5864

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Dhaval 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 ID7012180722

PECOS Enrollment IDI20160225002003

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.

Medicare Billing Reassignments

Medicare enrollment records show Dhaval Raval reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama Health Services Foundation, PC

1.0 mi

Ambulatory Surgical

2000 6TH AVE SOUTH
Birmingham, AL 35233

Reassigned Medicare billing, Alabama enrollment
4,494 clinicians in this Medicare group

NPI 1124213376 (205) 801-8000

Gadsden Regional Physician Group Practice LLC

59 mi

Internal Medicine

1007 GOODYEAR AVE
Gadsden, AL 35903

Reassigned Medicare billing, Alabama enrollment
48 clinicians in this Medicare group

NPI 1558506550 (256) 494-4000

Russell Hospital Corporation

65 mi

Family Medicine

3316 HIGHWAY 280
Alexander City, AL 35010

Reassigned Medicare billing, Alabama enrollment
83 clinicians in this Medicare group

NPI 1417252537 (256) 329-7109

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

529 services494 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

387 services369 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

204 services202 patients

Test to measure expiratory airflow and volume 94010

89 services85 patients

Test to examine how well the lungs exchange gases 94729

77 services75 patients

Test to determine lung volumes using gas dilution or washout 94727

63 services62 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.

63 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

30 services30 patients

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.

22 services18 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

20 services20 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.

20 services20 patients

Test to measure largest amount of air breathed in an out 94200

This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.

19 services19 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

17 services17 patients

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.

16 services12 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.

15 services13 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

14 services14 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

84.17/100

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

Scored as part of a group practice

Quality

77.1

Promoting Interoperability

100

Improvement Activities

Cost

70.15

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

1%156 patients1/55-star benchmark: 92%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%787 patients5/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

2%247 patients1/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

26%463 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 99% · 230 patients

Patients tobacco: 43% · 47 patients

86%230 patients4/55-star benchmark: 98%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 247 patients

0%247 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers18 claims21 services$17.12 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers20 claims22 services$5.43 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers51 claims52 services$80.37 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$28.51 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 20

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

MELANIE MORRIS

Surgery

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

JESSICA CHA

Nurse Practitioner (Acute Care)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

JAMES WALKER

Radiology (Diagnostic Radiology)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

TONYA RICHARDS

Nurse Practitioner (Family)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

JOSEPH SMITH

Radiology (Diagnostic Radiology)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

STACY WADE

Anesthesiology

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

MRS. CHERYL ANDERSON LANE NP-BC

Nurse Practitioner (Adult Health)

1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233

Jefferson County (205) 934-2747

TARAH WOODFIN

Nurse Practitioner (Acute Care)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

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 Dhaval Raval's NPI number?

The NPI number for Dhaval Raval is 1528214947. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Dhaval Raval located?

Dhaval Raval practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.

What is Dhaval Raval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Dhaval Raval enrolled in Medicare?

Yes. Dhaval 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 Dhaval Raval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhaval Raval reassigns Medicare benefits to 3 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Gadsden Regional Physician Group Practice LLC (Gadsden, AL) and Russell Hospital Corporation (Alexander City, AL). 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 Dhaval Raval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhaval Raval accept?

Health plans from Blue Cross and Blue Shield of Alabama list Dhaval 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.

When was this NPI record last updated?

The NPPES record for Dhaval Raval was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.