Individual provider Active NPI

Mythily Ramanathan, MD

  • Family Medicine Physician
  • Bellerose, NY
National Provider Identifier
1235657925
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
291014 Issued in NY
Practice address
8124 242ND St
Bellerose, NY 11426-1314
Phone
(347) 741-0041
NPI assigned
Sep 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 291014 NY Primary

Addresses

Primary practice location

8124 242ND St
Bellerose, NY 11426-1314

Mailing address

8124 242ND St
Bellerose, NY 11426-1314
Phone (347) 741-0041

Other practice location 1

354 Waverley St
Framingham, MA 01702-7059
Phone (347) 741-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180713001280 NY Practitioner - Family Practice 4587910054 Reassigns benefits to 2 organizations
I20260331003747 MA Practitioner - Family Practice 4587910054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians
Edward M Kennedy Community Health Center IncGroup PAC ID 3476512740, shared by 5 NPIs, 65 clinicians
Cross County Medical Care PCGroup PAC ID 7214062280, 4 clinicians

Practice addresses (Care Compare)

1 Pearl St
Suite 1000
Brockton, MA 02301-2869
Phone (508) 897-6050

19 Tacoma St
Worcester, MA 01605-3516
Phone (508) 852-1805

23811 Braddock Ave
Bellerose, NY 11426-1147
Phone (516) 641-0600

354 Waverley St
Framingham, MA 01702-7079
Phone (508) 370-0113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
291014NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cross County Medical Care PC Single Specialty CurrentSince Nov 4, 2019 Accepting new patients
Simela Medical Arts PC Single Specialty CurrentSince May 26, 2018 Accepting new patients
All Care Family Medicine P.C. Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Shining Light Family Health NP PC Single Specialty CurrentSince Jan 1, 2019 Accepting new patients
Edward M. Kennedy Community Health Center, Inc Past Accepting new patients

Locations

23811 Braddock Ave
Bellerose, NY 11426
Phone (516) 641-0600

23811 Braddock Ave
Fl 1
Bellerose, NY 11426
Phone (718) 354-8300

2910 Exterior St
Fl 1
Bronx, NY 10463
Phone (212) 567-4918

1030 Sheridan Ave
Bronx, NY 10456
Phone (718) 410-3400

804 Meacham Ave
Elmont, NY 11003
Phone (516) 559-2383

5030 Broadway
Ste 818
New York, NY 10034
Phone (212) 567-4931

11220 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 554-6600

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mythily.ramanathan.p1@direct.emkchc.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1235657925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 242ND ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261314",
            "telephone_number": "347-741-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 242ND ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261314",
            "telephone_number": "347-741-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Waverley St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017027059",
            "country_code": "US",
            "telephone_number": "347-741-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMANATHAN",
        "first_name": "MYTHILY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-02",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "291014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.