Ravi Radhakrishnan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

246906 Issued in NY

Practice address

559 Gramatan Ave Ste 202
Mount Vernon, NY 10552-2156

Phone

(914) 699-2020

Fax

(914) 699-2019

NPI assigned

May 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Eye Surgery Associates PLLCGroup PAC ID 6800785148, 8 clinicians

Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: rradhakrishnan68971@northwell.direct-ci.com
• Direct secure messaging: rradhakrishnan1140674@nychhc.direct-ci.com

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.

• New York Eye Surgery Associates PLLC

  • Specialist
  • Bronx, NY
  • NPI 1699873067
  Medicare reassignment Care Compare group NPD
• Physician Affiliate Group of New York PC

  • Registered Dietitian
  • New York, NY
  • NPI 1013375526
  Medicare reassignment Care Compare group NPD
• Tri-State Retina P.C.

  • Ophthalmology Physician
  • Mount Vernon, NY
  • NPI 1396206306
  Medicare reassignment NPD Authorized official
• Metropolitan Medical Practice Plan PC

  • General Practice Physician
  • New York, NY
  • NPI 1306138383
  Medicare reassignment NPD
• Alexandr Weinstein Medical P C

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1578508040
  NPD (past)
• Mark Fromer, MD PC

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1194851774
  NPD (past)
• Stony Brook Ophthalmology, University Faculty Practice Corporation

  • Ophthalmology Physician
  • Stony Brook, NY
  • NPI 1700831195
  NPD (past)

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

• Montefiore Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1952476988
  Care Compare affiliation

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1457519340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105830015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 GRAMATAN AVE STE 202",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522156",
            "telephone_number": "914-699-2020",
            "fax_number": "914-699-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "RAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "246906",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "246906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Manuel Quintana, MS SPECIAL EDUCATION
• Lorceli Quintos, MD
• R & M Ambulette Express Inc.
• R&D Limo & Town Car LTD
• Rachel Wright, Inc.
• Nadereh Rafat, M.D.,
• Payam Rafat, DPM
• Peter Rahanis, SLP
• Marcia Ralph
• Shakuntala Ramdas, LMHC

• Ophthalmology Physician in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.