Active NPI
Ravi Venugopal, M.D.
- Emergency Medicine Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 247083-1
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-0333
- NPI assigned
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 247083-1 | NY | Primary |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
23 Bretton Rd
Garden City Park, NY 11040-3411
Phone (516) 747-6749
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247083-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Lij, Urgent Care, P.C. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New York, PLLC | Emergency Medicine | Current | Accepting new patients |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300
5828 99th St
Flushing, NY 11368
Phone (718) 502-9867
71 Forest Ave
Glen Cove, NY 11542
Phone (347) 493-2941
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
27005 76th Ave
North New Hyde Pk, NY 11040
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
265 Sunrise Hwy
Ste 20
Rockville Ctr, NY 11570
Phone (516) 268-0270
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Emergency Medicine Physician
- Oceanside, NY
- NPI 1922460542
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1992131320
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1811167828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BRETTON RD",
"city": "GARDEN CITY PARK",
"state": "NY",
"postal_code": "110403411",
"telephone_number": "516-747-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "516-663-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENUGOPAL",
"first_name": "RAVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "247083-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.