MIHIR PRADIPKUMAR RAVAL M.D. , M.P.H.
NPI 1962639427
Internal Medicine - Hematology & Oncology in Albany, NY

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment
95.87/100
CMS Quality Rating
43 NEW SCOTLAND AVE # MC7, ALBANY, NY 12208(518) 262-6696 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mihir Pradipkumar Raval M.d. , M.p.h. NPPES

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

MIHIR PRADIPKUMAR RAVAL M.D. , M.P.H. (NPI 1962639427) is an individual hematology & oncology provider in Albany, New York, licensed in New York (292894) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962639427
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMIHIR PRADIPKUMAR RAVALCredential: M.D. , M.P.H.
Location Address43 NEW SCOTLAND AVE # MC7Albany, NY 12208-3412
Mailing Address449 Route 146 Ste 101Halfmoon, NY 12065-3239 · (518) 373-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 11, 2009
Last NPPES UpdateJune 28, 2019
NPI 1962639427 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 NY · 292894
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 292894 (NY)
43 NEW SCOTLAND AVE # MC7, Albany, NY 12208

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

Mihir Pradipkumar Raval M.d. , M.p.h. 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 ID9335395003
PECOS Enrollment IDI20180629001967
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 55

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.

Injection, daratumumab, 10 mg and hyaluronidase-fihj J9144
Daratumumab and hyaluronidase-fihj is an injection administered to treat certain types of blood cancer. The medication works by targeting and killing specific cancer cells. It's often given under the skin to reduce side effects and improve patient comfort.
11,160 services14 patients
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
10,710 services18 patients
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
This procedure involves an intravenous injection of Octagam, a liquid immune globulin. It is a blood product that helps your body fight off infections. It's given through a vein (IV) and each dose contains 500 mg of the medication.
3,530 services19 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,300 services12 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.
1,058 services384 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,009 services376 patients

Hospital Affiliations CMS Care Compare 5

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.31
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
71%138 patients4/55-star benchmark: 91%
Oncology: Hepatitis B Serology Testing and Prophylactic Treatment Prior to Receiving Anti-CD20 Targeting Drugs
84%38 patients
Oncology: Patient-Reported Pain Improvement
45%130 patients
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
74%1,082 patients4/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
89%615 patients4/55-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 2

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
1 supplier12 claims12 services$15.38 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
1 supplier12 claims12 services$67.44 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 7

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

Nurse Practitioner (Family)
43 NEW SCOTLAND AVE # MC7
ALBANY, NY 12208
Nurse Practitioner (Adult Health)
43 NEW SCOTLAND AVE # MC7
ALBANY, NY 12208
Physician Assistant (Medical)
43 NEW SCOTLAND AVE # MC7
ALBANY, NY 12208
Nurse Practitioner (Family)
43 NEW SCOTLAND AVE # MC7
ALBANY, NY 12208
Nurse Practitioner (Family)
43 NEW SCOTLAND AVE # MC7
ALBANY, NY 12208
Nurse Practitioner (Family)
43 NEW SCOTLAND AVE # MC7
ALBANY, NY 12208
Social Worker (Clinical)
43 NEW SCOTLAND AVE # MC7
ALBANY, NY 12208

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 Mihir Raval's NPI number?

The NPI number for Mihir Raval is 1962639427. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Where is Mihir Raval located?

Mihir Raval practices at 43 New Scotland Ave # Mc7, Albany, NY 12208. The listed phone number is (518) 262-6696.

What is Mihir Raval's specialty?

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

Is Mihir Raval enrolled in Medicare?

Yes. Mihir 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.

Is Mihir Raval affiliated with any hospitals?

According to CMS data, Mihir Raval is affiliated with Albany Medical Center Hospital, Columbia Memorial Hospital, Samaritan Hospital Of Troy, New York, Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Mihir Raval was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.