REVATHY SUNDARAM MD
NPI 1215999008
Pediatrics - Pediatric Hematology-Oncology in Brooklyn, NY
About Revathy Sundaram Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVATHY SUNDARAM MD (NPI 1215999008) is an individual pediatric hematology-oncology provider in Brooklyn, New York, licensed in New York (138054) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revathy Sundaram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Revathy Sundaram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11215
- Reassigned Medicare billing, New York enrollment
- 1,029 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BROOKLYN, NY 11215
BROOKLYN, NY 11215
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 Sundaram's NPI number?
The NPI number for Revathy Sundaram is 1215999008. It was assigned to this individual provider in the NPPES registry on April 5, 2006. The provider is also known as Dr. Revathy Sundaram MD.
Where is Revathy Sundaram located?
Revathy Sundaram practices at 506 6th St, Brooklyn, NY 11215. The listed phone number is (212) 256-3682.
What is Revathy Sundaram's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Revathy Sundaram enrolled in Medicare?
Yes. Revathy Sundaram is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Revathy Sundaram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Revathy Sundaram reassigns Medicare benefits to Kings Physician Services, PC (Brooklyn, NY). 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 Revathy Sundaram'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 Revathy Sundaram was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Revathy Sundaram, MD · NPI 1215999008
Pediatric Hematology-Oncology physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 5, 2006.
## Identity
- **NPI:** 1215999008 (Entity type: Individual)
- **Enumerated:** April 5, 2006
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** 138054 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 6TH ST, Brooklyn, NY 11215-3609
- **Phone:** (212) 256-3682
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kings Physician Services, PC (NPI 1326698879, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2023
- **Other identifiers:** Medicaid 00788156 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1215999008) · Data from the CMS NPPES public registry.