1. Home
  2. Directory
  3. New York
  4. Stony Brook
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MS. POOJA RATHI
NPI 1104236157
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 29, 2014PECOS Enrolled
STONY BROOK LONG ISLAND CHILDRENS HOPSITAL, DEPARTMENT OF PEDIATRICS, HSC T-11, ROOM 040, STONY BROOK, NY 11794(631) 444-2020(631) 444-2894 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Pooja Rathi NPPES

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

MS. POOJA RATHI (NPI 1104236157) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104236157
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. POOJA RATHI
Location AddressSTONY BROOK LONG ISLAND CHILDRENS HOPSITAL, DEPARTMENT OF PEDIATRICS, HSC T-11, ROOM 040Stony Brook, NY 11794-8111
Mailing AddressStony Brook Long Island Childrens Hopsital, Department Of Pediatrics, Hsc T-11, Room 040Stony Brook, NY 11794-8111 · (631) 444-2020 · Fax (631) 444-2894
Phone(631) 444-2020
Fax(631) 444-2894
Sole ProprietorNo
Enumeration DateApril 29, 2014
Last NPPES UpdateDecember 21, 2021
✔ NPI 1104236157 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
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.
STONY BROOK LONG ISLAND CHILDRENS HOPSITAL, Stony Brook, NY 11794
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Pooja Rathi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Pooja Rathi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,550 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 Pooja Rathi's NPI number?

The NPI number for Pooja Rathi is 1104236157. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Pooja Rathi located?

Pooja Rathi practices at Stony Brook Long Island Childrens Hopsital Department Of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794. The listed phone number is (631) 444-2020.

What is Pooja Rathi's specialty?

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

Is Pooja Rathi enrolled in Medicare?

Yes. Pooja Rathi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pooja Rathi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Rathi reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Pooja Rathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pooja Rathi was last updated on December 21, 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.