Individual provider Active NPI

Ravi Venugopal, M.D.

  • Emergency Medicine Physician
  • Mineola, NY
National Provider Identifier
1811167828
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
247083-1 Issued in NY
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

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000514 NY Practitioner - Emergency Medicine 5597830539 Reassigns benefits to 4 organizations

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
Hospitalist Medicine Physicians of New York PLLCGroup PAC ID 5597767129, 36 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
247083-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Aug 1, 2019 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.