1. Home
  2. Directory
  3. New York
  4. South Richmond Hill
  5. Nurse Practitioner
  6. NPI Profile

SHELBY THARAKAN
NPI 1194381020
Nurse Practitioner - Family in South Richmond Hill, NY

Active since May 16, 2019PECOS Enrolled
11912 94TH AVE FL 1, SOUTH RICHMOND HILL, NY 11419(718) 297-0440 Get Directions Write a Review

NPPES record last updated: February 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2021, May 16, 2019 (2 updates tracked since 2019).

About Shelby Tharakan NPPES

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

SHELBY THARAKAN (NPI 1194381020) is an individual family provider in South Richmond Hill, New York, licensed in New York (F344111-1) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194381020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY THARAKAN
Location Address11912 94TH AVE FL 1South Richmond Hill, NY 11419-1332
Mailing Address127 The DellAlbertson, NY 11507-1014 · (516) 270-2721
Phone(718) 297-0440
Sole ProprietorNo
Enumeration DateMay 16, 2019
Last NPPES UpdateFebruary 20, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2021
✔ NPI 1194381020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F344111-1✔ Licensed in NY · 344111
11912 94TH AVE FL 1, South Richmond Hill, NY 11419
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Tharakan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11419 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shelby Tharakan's NPI number?

The NPI number for Shelby Tharakan is 1194381020. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Shelby Tharakan located?

Shelby Tharakan practices at 11912 94th Ave Fl 1, South Richmond Hill, NY 11419. The listed phone number is (718) 297-0440.

What is Shelby Tharakan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shelby Tharakan enrolled in Medicare?

Yes. Shelby Tharakan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Tharakan was last updated on February 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.