Individual provider Active NPI

Sitara Ravikumar, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1285029066
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
297321 Issued in NY
Practice address
425 Fifth Ave
#Rd Floor
New York, NY 10016-2223
Phone
(646) 792-7476
Fax
(646) 980-1644
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X S09293801 MA
Obstetrics & Gynecology Physician 207V00000X 297321 NY Primary

Addresses

Primary practice location

425 Fifth Ave
#Rd Floor
New York, NY 10016-2223

Mailing address

425 Fifth Ave
#Rd Floor
New York, NY 10016-2223
Phone (646) 792-7476

Other practice location 1

185 S Orange Ave Rm E506
Newark, NJ 07103-2757
Phone (781) 249-4765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230809001154 NY Practitioner - Obstetrics/Gynecology 2062874951 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
297321NYMDObstetrics & Gynecology Physician
S09293801MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rosh Maternal Fetal Medicine PLLC Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients

Locations

213 Madison Ave
Ste 1A
New York, NY 10016

110 E 40th St
Rm 801
New York, NY 10016
Phone (212) 249-3939

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21664/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1285029066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FIFTH AVE",
            "address_2": "#RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162223",
            "telephone_number": "646-792-7476",
            "fax_number": "646-980-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FIFTH AVE",
            "address_2": "#RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162223",
            "telephone_number": "646-792-7476",
            "fax_number": "646-980-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave Rm E506",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "781-249-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVIKUMAR",
        "first_name": "SITARA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "S09293801",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "297321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.