DR. RAFAEL EDUARDO SR. RUIZ GAVIRIA (MD) – Infectious Disease Physician, NPI 1679067334
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
44 INFECTIOUS DISEASE in DE
Provider Addresses for DR. RAFAEL EDUARDO SR. RUIZ GAVIRIA (MD)
640 S. STATE STREET
MAIL CODE 3055
DOVER, DE 19901
Phone: (302) 480-1688
Fax: (302) 480-9807
Type: Mailing
101 WELLNESS WAY STE 200
MILFORD, DE 199634394
Phone: (302) 430-0867
Fax: (302) 430-0421
Type: Location
Saint Agnes Hospital, 900, South Caton Avenue, Violetville, Baltimore, Maryland, 21229, United States
BALTIMORE, MD 212295299
Phone: (667) 234-5724
Fax: (667) 234-3525
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Novo Nordisk Inc ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $16 |
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: 2023-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230725002038 | I | Infectious Disease | DE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 99 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 52 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 37 | 35 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | 22 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 22 | 14 | $0 |
Insurance plans in this area (ZIP 19901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| H E M A T O L O G Y/ O N C O L O G Y | DE | |
| Internal Medicine, Infectious Disease | DE | |
| - | DE | |
| Certified Nurse Midwife (Cnm) | DE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | DE | |
| Medical Oncology | DE | |
| Physician Assistant | DE | |
| Certified Nurse Midwife (Cnm) | DE | |
| Internal Medicine | NY |
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