DR. JAYDEEP RAVAL (D.O.) – Hospitalist Physician, NPI 1104277953

DR. JAYDEEP RAVAL (D.O.) is a healthcare provider. based in San diego, California. specializing in HOSPITALIST. They hold the professional credentials D.O.. They hold a License No. 010017 (AZ). The NPI Number for DR. JAYDEEP RAVAL (D.O.) is 1104277953

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAYDEEP RAVAL (D.O.)
NPI
1104277953
Phone
(920) 594-0486
Address
2196 FENTON PKWY APT 217
Enumeration Date
23 June 2016
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
6235805800
Graduation Year
2016 (10 years ago)
PAC ID
3678835949
Group Practice PAC ID
5395163745
Professional Enrollment ID
I20230408000134
Address ID
AZ850858876PH33400AVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

3,302 HOSPITALIST in CA

Provider Addresses for DR. JAYDEEP RAVAL (D.O.)

  • 2196 FENTON PKWY APT 217

    SAN DIEGO, CA 921084772

    Phone: (920) 594-0486

    Type: Mailing

  • 34800 BOB WILSON DRIVE

    AL MEDICAL CENTER

    SAN DIEGO, CA 921345000

    Phone: (619) 532-6827

    Fax: (619) 532-7508

    Type: Location

  • 1145 STURGIS ROAD

    TWENTYNINE PALMS, CA 92277

    Phone: (760) 830-2197

    Type: Mailing

  • 1145 STURGIS RD

    TWENTYNINE PALMS, CA 92277

    Phone: (760) 830-2483

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $291.

Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($190).

Total Amount

$291

General + Research + Ownership

Payments

3

Total payment records

General Amount

$291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190614001153IInternal MedicineCATBD
I20230408000134IHospitalistAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 92108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395163745View full group profile
NameSpecialtyState
H O S P I T A L I S TAZ
H O S P I T A L I S TPA
H O S P I T A L I S TAZ
H O S P I T A L I S TCA
H O S P I T A L I S TAZ
Internal Medicine, HospitalistAZ
Family Practice, HospitalistAZ
Hospitalist, Internal MedicineLA
H O S P I T A L I S TCA
Hospitalist, Internal MedicineRI

Reviews

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Frequently asked questions

Does DR. JAYDEEP RAVAL (D.O.) have a public NPI I can cite?
Public records show DR. JAYDEEP RAVAL (D.O.) under NPI 1104277953.
Is DR. JAYDEEP RAVAL (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JAYDEEP RAVAL (D.O.) as active.
What type of care does DR. JAYDEEP RAVAL (D.O.) provide?
DR. JAYDEEP RAVAL (D.O.)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JAYDEEP RAVAL (D.O.)?
The directory associates DR. JAYDEEP RAVAL (D.O.) with San Diego, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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