REVATHY SUNDARAM MD
NPI 1215999008
Pediatrics - Pediatric Hematology-Oncology in Brooklyn, NY

Active since April 05, 2006PECOS Enrolled
506 6TH ST, BROOKLYN, NY 11215(212) 256-3682 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 22, 2023, Apr 3, 2023, Mar 23, 2020 (3 updates tracked since 2020).

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

NPI1215999008
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameREVATHY SUNDARAMCredential: MD
Location Address506 6TH STBrooklyn, NY 11215-3609
Mailing Address506 6th StBrooklyn, NY 11215-3609 · (718) 780-3066 · Fax (718) 780-3515
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1215999008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in NY · 138054
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 138054 (NY)
506 6TH ST, Brooklyn, NY 11215

Other Names 1

Professional Name (2)Dr. Revathy Sundaram Md

Other Identifiers 1

Medicaid00788156NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Revathy Sundaram Md 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.

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.

Surgery
506 6TH ST
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Nurse Practitioner (Adult Health)
506 6TH ST, EP2
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Pathology (Anatomic Pathology)
506 6TH ST
BROOKLYN, NY 11215
Pediatrics
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
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.

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.