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DR. REVATHY PRASANNA RAJAH M.D.
NPI 1083926703
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since July 10, 2010PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-1000 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Revathy Prasanna Rajah M.d. NPPES

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

DR. REVATHY PRASANNA RAJAH M.D. (NPI 1083926703) is an individual student in an organized health care education/training program in Brooklyn, New York, licensed in New York (FR0435669024) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1083926703
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. REVATHY PRASANNA RAJAHCredential: M.D.
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address116 Winfield StStaten Island, NY 10305-3542 · (510) 364-9745
Phone(718) 270-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 10, 2010
Last NPPES UpdateDecember 15, 2021
✔ NPI 1083926703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · FR0435669024
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
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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

Dr. Revathy Prasanna Rajah M.d. 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 ID9234447947
PECOS Enrollment IDI20150930000491
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
32 services25 patients

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.

SUNY DOWNSTATE MEDICAL CENTER UHB
Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 363-2908
UNIVERSITY PHYSICIANS OF BROOKLYN
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Kings County (718) 270-1112
SNEHALATA R TOPGI MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3295
DR. MARYAM NOORI KOLOORI M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (412) 737-3789
DR. VIVEK YADAV MD
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3302
DR. DANIEL BEEGAN MD
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Kings County (718) 270-4096
ELIEZER LEVITANSKY DO
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (245) 331-8718
MIGUEL ANGEL BARRIOS MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4798

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 Revathy Rajah's NPI number?

The NPI number for Revathy Rajah is 1083926703. It was assigned to this individual provider in the NPPES registry on July 10, 2010.

Where is Revathy Rajah located?

Revathy Rajah practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-1000.

What is Revathy Rajah's specialty?

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

Is Revathy Rajah enrolled in Medicare?

Yes. Revathy Rajah 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.

When was this NPI record last updated?

The NPPES record for Revathy Rajah was last updated on December 15, 2021. 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.