RYAN GHEEVARGHESE MD
NPI 1013646603
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since June 08, 2022PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVE, PRIMARY CARE INTERNAL MEDICINE, BROOKLYN, NY 11203(718) 245-2783 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan Gheevarghese Md NPPES

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

RYAN GHEEVARGHESE MD (NPI 1013646603) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013646603
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN GHEEVARGHESECredential: MD
Location Address450 CLARKSON AVE, PRIMARY CARE INTERNAL MEDICINEBrooklyn, NY 11203-2012
Mailing Address450 Clarkson Ave, Primary Care Internal MedicineBrooklyn, NY 11203-2012 · (718) 245-2783
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 8, 2022
NPPES CertifiedApril 30, 2022
NPI 1013646603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan Gheevarghese Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264912179
PECOS Enrollment IDI20260218001629
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Ryan Gheevarghese's NPI number?

The NPI number for Ryan Gheevarghese is 1013646603. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Ryan Gheevarghese located?

Ryan Gheevarghese practices at 450 Clarkson Ave Primary Care Internal Medicine, Brooklyn, NY 11203. The listed phone number is (718) 245-2783.

What is Ryan Gheevarghese's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Gheevarghese enrolled in Medicare?

Yes. Ryan Gheevarghese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ryan Gheevarghese affiliated with any hospitals?

According to CMS data, Ryan Gheevarghese is affiliated with Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Gheevarghese was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.