PAUL S RAVA (MD, PHD) – Radiation Oncology Physician, NPI 1063641504

PAUL S RAVA (MD, PHD) is a healthcare provider. based in Providence, Rhode Island. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD, PHD. They hold a License No. MD20328 (RI). The NPI Number for PAUL S RAVA (MD, PHD) is 1063641504

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
PAUL S RAVA (MD, PHD)
NPI
1063641504
Phone
Not provided
Address
117 ELLENFIELD ST STE 101
Enumeration Date
6 July 2009
Last Update Date
4 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014448311
Graduation Year
2008 (18 years ago)
PAC ID
3173766573
Group Practice PAC ID
2567455082
Professional Enrollment ID
I20250122000434
Address ID
RI029034923PR593XXSTXX300

Contacts

Secure Messaging
prava23581@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

255 RADIATION ONCOLOGY in MA

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Provider Addresses for PAUL S RAVA (MD, PHD)

  • 117 ELLENFIELD ST STE 101

    PROVIDENCE, RI 029054541

    Phone:

    Type: Mailing

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (774) 442-2062

    Type: Location

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone: (401) 444-8311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-01-22

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
I20130904000838IRadiation OncologyMATBD
I20250122000434IRadiation OncologyRITBD

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
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy79240$0
77300Calculation of radiation therapy dose26974$0
77427Radiation treatment management, 5 treatment sessions23170$0
77334Design and construction of complex radiation treatment device18163$0
99213Established patient office or other outpatient visit, 20-29 minutes9178$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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Provider's Procedures

PAUL S RAVA (MD, PHD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYMA77300Calculation of radiation therapy dose26770

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: 2567455082View full group profile

Reviews

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Frequently asked questions

How do I look up PAUL S RAVA (MD, PHD) by NPI?
Use NPI 1063641504 when you need to reference PAUL S RAVA (MD, PHD) in forms, claims, or directories.
Is PAUL S RAVA (MD, PHD) active in the national directory?
PAUL S RAVA (MD, PHD)'s public NPI profile is in an active state.
What field does PAUL S RAVA (MD, PHD) work in?
You can think of PAUL S RAVA (MD, PHD) as practicing within Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PAUL S RAVA (MD, PHD)?
The page summarizes Providence, Rhode Island for PAUL S RAVA (MD, PHD); expand the address list for detail.
What if Providence, Rhode Island seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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