Sunaina Devi Ravuru, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11616 Liberty Ave
South Richmond Hill, NY 11419-1941

Phone

(718) 641-1117

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Crown Heights Medical Doctor PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1467040907
  Medicare reassignment
• Pervaiz Iqbal Physician PC

  • Pulmonary Disease Physician
  • Roslyn, NY
  • NPI 1477765469
  Medicare reassignment

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1699346775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11616 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191941",
            "telephone_number": "718-641-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191941",
            "telephone_number": "718-641-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVURU",
        "first_name": "SUNAINA",
        "middle_name": "DEVI",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "027199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suraiya Ramnanan, RN
• Frances Ramos
• Kovinesh Ramotar
• Deonarine Rampershad
• Dropattie Ramsammy
• Redpeak Equipments & Diagnostics LLC
• Dominic Edwin Regalbuto, PHARMD, RPH
• Reginald Hughes, MD PC
• Mousumi Reja
• Resolutions Counseling and Family Services LCSW PLLC

• Physician Assistant in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.