NPIMap

Individual provider Active NPI

Lalitha Ravichandran, M.D.

  • Nephrology Physician
  • Pomona, NY
National Provider Identifier
1346214186
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
182905 Issued in NY
Practice address
1 Medical Park Dr
Pomona, NY 10970
Phone
(845) 362-5600
Fax
(845) 362-5616
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 182905 NY Primary
Internal Medicine Physician 207R00000X 182905 NY

Addresses

Primary practice location

1 Medical Park Dr
Pomona, NY 10970

Mailing address

1 Medical Park Dr
Pomona, NY 10970
Phone (845) 362-5600

Other identifiers 1

IdentifierTypeStateIssuer
01565466MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000290 NY Practitioner - Internal Medicine 4789575481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Consultants PCGroup PAC ID 2860383551, 3 clinicians

Practice addresses (Care Compare)

1 Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
82.96
Improvement activities
40
Cost
63.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182905NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anjali P. Gupte Certified Dietitian/Certified Nutritonist LLC CurrentSince Jan 22, 2012 Accepting new patients
Renal Consultants P.C. CurrentSince Jul 1, 1998 Accepting new patients

Locations

515 Route 304
Ste 2A
New City, NY 10956
Phone (845) 638-2007

1 Medical Park Dr
Pomona, NY 10970
Phone (845) 362-5600

Networks

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

Interoperability endpoints

  • Direct secure messaging: lalitha.ravichandran@rcp.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1346214186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-362-5600",
            "fax_number": "845-362-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-362-5600",
            "fax_number": "845-362-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVICHANDRAN",
        "first_name": "LALITHA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "182905",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "182905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01565466",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.