PHILIP MARK RALIDIS (DO) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1487619128

PHILIP MARK RALIDIS (DO) is a healthcare provider. based in Austin, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. J7147 (TX). The NPI Number for PHILIP MARK RALIDIS (DO) is 1487619128

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP MARK RALIDIS (DO)
NPI
1487619128
Phone
Not provided
Address
3003 LOVELAND CV
Enumeration Date
18 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9366378567
Graduation Year
1990 (36 years ago)
PAC ID
6901807148
Group Practice PAC ID
5395973564
Professional Enrollment ID
I20070130000728
Address ID
TX759043120LU505XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for PHILIP MARK RALIDIS (DO)

  • 3003, Loveland Cove, Austin, Travis County, Texas, 78746, United States

    AUSTIN, TX 787467635

    Phone:

    Type: Mailing

  • 601, East 15th Street, Medical District, Austin, Travis County, Texas, 78701, United States

    AUSTIN, TX 787011930

    Phone: (512) 324-7000

    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: 2009-11-03

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
I20070130000728IEmergency MedicineTXTBD
I20091103000420IEmergency MedicineLATBD

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
99285Emergency department visit with high level of medical decision making467412$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only406357$0
99291Critical care, first 30-74 minutes135126$0
99284Emergency department visit with moderate level of medical decision making10196$0
View full utilization report →

Insurance plans in this area (ZIP 78746)

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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: 5395973564View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Emergency MedicineTX
Emergency Medicine, Family PracticeLA
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency Medicine, Family PracticeAR
Emergency MedicineTX

Reviews

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Frequently asked questions

Where can patients find PHILIP MARK RALIDIS (DO)'s NPI?
You can confirm PHILIP MARK RALIDIS (DO) with NPI 1487619128; it appears in the national provider directory.
Is PHILIP MARK RALIDIS (DO) currently active in the NPI registry?
CMS-published data lists PHILIP MARK RALIDIS (DO) as an active registrant.
What does PHILIP MARK RALIDIS (DO) treat or focus on?
Patients typically see PHILIP MARK RALIDIS (DO) under the specialty Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is PHILIP MARK RALIDIS (DO)'s primary listing?
We display Austin, Texas because that is what the record indicates for PHILIP MARK RALIDIS (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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