Individual provider Active NPI

Nilesh Kaushik Raval, MD

  • Retina Specialist (Ophthalmology) Physician
  • Scarsdale, NY
National Provider Identifier
1790276780
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
314593 Issued in NY
Practice address
700 White Plains Rd Ste 309
Scarsdale, NY 10583-5032
Phone
(631) 234-5666
Fax
(631) 234-0539
NPI assigned
May 24, 2018
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
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
Ophthalmology Physician 207W00000X 4351034422 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 314593 NY Primary

Addresses

Primary practice location

700 White Plains Rd Ste 309
Scarsdale, NY 10583-5032

Mailing address

200 Motor Pkwy Ste A2
Hauppauge, NY 11788-5112
Phone (631) 234-5666

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
I20220527001520 NY Practitioner - Ophthalmology 0547515025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Vitreo Retinal Consultants PCGroup PAC ID 1355232158, 20 clinicians

Practice addresses (Care Compare)

700 White Plains Rd
Suite 309
Scarsdale, NY 10583-5032
Phone (516) 466-0390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314593NYMDLicensed Practical Nurse
4351034422MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Vitreo Retinal Consultants PC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Long Island Vitreo Retinal Consultants PC Ophthalmology Past Accepting new patients
Long Island Vitreo Retinal Consultants Ophthalmology PastSince Aug 11, 2024 Accepting new patients

Locations

600 Northern Blvd
Ste 216
Great Neck, NY 11021
Phone 5164660390204

200 Motor Pkwy
Ste A2
Hauppauge, NY 11788
Phone (631) 234-5666

17 Squadron Blvd
Ste 200
New City, NY 10956
Phone (845) 708-0900

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

700 White Plains Rd
Ste 309
Scarsdale, NY 10583
Phone (631) 234-5666

Networks

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

Interoperability endpoints

  • Direct secure messaging: nraval@vrcnortheast.intellechartdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1790276780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY STE A2",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885112",
            "telephone_number": "631-234-5666",
            "fax_number": "631-234-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD STE 309",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835032",
            "telephone_number": "631-234-5666",
            "fax_number": "631-234-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "NILESH",
        "middle_name": "KAUSHIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4351034422",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "314593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.