Parthiv Raval, M.D.
NPI 1295712446 · Gastroenterology Physician · Clifton, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Parthiv Raval, M.D. is a Gastroenterology Physician provider in Clifton, NJ (NPI 1295712446).
Provider details
- NPI number
- 1295712446
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA065370 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
750 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 169 | $105 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 143 | $56 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 92 | $73 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 76 | $146 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 69 | $129 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 60 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lansoprazole | 405 | 135 |
| Omeprazole | 347 | 120 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 281 | 265 |
| Linaclotidebrand: Linzess | 213 | 56 |
| Famotidine | 159 | 48 |
| Lactulose | 146 | 64 |
| Esomeprazole Magnesium | 126 | 30 |
| Lipase/Protease/Amylase |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$985 across 67 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2007-07-08
Frequently asked questions
- What is Parthiv Raval's NPI number?
- Parthiv Raval's National Provider Identifier (NPI) is 1295712446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Parthiv Raval's specialty?
- Parthiv Raval is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Parthiv Raval located?
- Parthiv Raval's practice location on file with NPPES is 1100 Clifton Ave, Clifton, NJ 07013-3631.
- What is Parthiv Raval's phone number?
- The practice phone number listed in the NPPES registry for Parthiv Raval is (973) 614-9700.
- Does Parthiv Raval accept Medicare?
- Parthiv Raval is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Parthiv Raval's NPI active?
- Yes — Parthiv Raval's NPI (1295712446) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.