Individual provider Active NPI

Sundaram Ravikumar, MD

  • Vascular Surgery Physician
  • Dobbs Ferry, NY
National Provider Identifier
1750441069
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
151069 Issued in NY
Practice address
88 Ashford Ave
Dobbs Ferry, NY 10522-1812
Phone
(914) 591-8400
Fax
(914) 591-7367
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 151069 NY Primary

Addresses

Primary practice location

88 Ashford Ave
Dobbs Ferry, NY 10522-1812

Mailing address

265 Hardscrabble Rd
Briarcliff Manor, NY 10510-1802
Phone (914) 591-8400

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
I20040513000009 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 5193715183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 Ashford Ave
Dobbs Ferry, NY 10522-1812
Phone (914) 591-8400

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal58
Leg revascularization (restoring blood flow)14
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Vascular PLLC CurrentSince Oct 18, 2006 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Feb 2, 2019 Accepting new patients
Westchester Endrocrinology PLLC Past Accepting new patients

Locations

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400

504 Gramatan Ave
Mount Vernon, NY 10552
Phone (914) 664-7323

Networks

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

Organizations & group practices 3

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 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1750441069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 HARDSCRABBLE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101802",
            "telephone_number": "914-591-8400",
            "fax_number": "914-591-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ASHFORD AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221812",
            "telephone_number": "914-591-8400",
            "fax_number": "914-591-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVIKUMAR",
        "first_name": "SUNDARAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "151069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.