RAVEENA MEDICAL PC
NPI 1013031533
Internal Medicine - Pulmonary Disease in New Hyde Park, NY

Active since March 19, 2007
1575 HILLSIDE AVENUE # 103, SUITE #103, NEW HYDE PARK, NY 11040(516) 352-1804(516) 352-1449 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 19, 2024, Jun 29, 2021, Jun 27, 2021 and 1 more (4 updates tracked since 2019).

About Raveena Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEENA MEDICAL PC (NPI 1013031533) is a healthcare organization registered as a pulmonary disease in New Hyde Park, New York and active in the NPI registry since March 2007. The organization lists Teekaram Persaud, President, as its authorized official.

NPPES Registry Identity

NPI1013031533
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameRAVEENA MEDICAL PC
Location Address1575 HILLSIDE AVENUE # 103, SUITE #103New Hyde Park, NY 11040-2501
Mailing Address9308 Queens Blvd # 1b1cRego Park, NY 11374-1135 · (718) 806-1434 · Fax (718) 806-1435
Fax(516) 352-1449
Organization SubpartNo
Authorized OfficialTeekaram PersaudPresident · (718) 806-1434
Enumeration DateMarch 19, 2007
Last NPPES UpdateDecember 19, 20244 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1013031533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 223596
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1575 HILLSIDE AVENUE # 103, New Hyde Park, NY 11040

Other Identifiers 1

Medicaid02728545NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raveena Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Raveena Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Pulmonary Disease
NPI 1992701270
1575 HILLSIDE AVENUE # 103
New Hyde Park, NY 11040
(516) 352-1804
✔ PECOSSame address
Nurse Practitioner
NPI 1134747769
10201 66TH RD
Forest Hills, NY 11375
(718) 830-4000
✔ PECOS✔ Accepts Medicare8.8 mi
Nurse Practitioner
NPI 1316307457
34-29 83RD STREET
Jackson Heights, NY 11372
(718) 424-7800
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raveena Medical PC's NPI number?

The NPI number for Raveena Medical PC is 1013031533. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Raveena Medical PC located?

Raveena Medical PC is located at 1575 Hillside Avenue # 103 Suite #103, New Hyde Park, NY 11040. The listed phone number is (516) 352-1804.

What is Raveena Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Raveena Medical PC enrolled in Medicare?

Yes. Raveena Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raveena Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Raveena Medical PC, in Nurse Practitioner and Pulmonary Disease. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Raveena Medical PC was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.