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SIBIMOL NIRAVATH PMHNP-BC
NPI 1235956095
Nurse Practitioner - Psychiatric/Mental Health in Medford, NY

Active since September 23, 2024PECOS Enrolled
1727 N OCEAN AVE, MEDFORD, NY 11763(631) 654-1919 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2025, Sep 23, 2024 (2 updates tracked since 2024).

About Sibimol Niravath Pmhnp-bc NPPES

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

SIBIMOL NIRAVATH PMHNP-BC (NPI 1235956095) is an individual psychiatric/mental health provider in Medford, New York, licensed in New York (406360) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glen Oaks, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235956095
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSIBIMOL NIRAVATHCredential: PMHNP-BC
Location Address1727 N OCEAN AVEMedford, NY 11763-2649
Mailing Address21 Fernwood DrCommack, NY 11725-4715 · (631) 456-1126
Phone(631) 654-1919
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 23, 2024
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1235956095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 406360
1727 N OCEAN AVE, Medford, NY 11763
Open in Google Maps ↗

Secondary Practice Location 1

Location 175-59 263rd StreetGlen Oaks, NY 11004 · Phone (718) 470-8100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sibimol Niravath Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911435235
PECOS Enrollment IDI20250114001136
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 Reassignments

3

Medicare enrollment records show Sibimol Niravath reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Catholic Charities Of The Diocese Of Rockville Centre
Same address
Mental Health (Including Community Mental Health Center)
1727 N OCEAN AVE
Medford, NY 11763
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1437170537 (631) 654-1919
John T. Mather Memorial Hospital
7.6 mi
Psychiatry
5505 NESCONSET HWY
Mount Sinai, NY 11766
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1568774453 (631) 686-7689
Nurtured Minds Np In Psychiatry PLLC
15 mi
Mental Health (Including Community Mental Health Center)
283 COMMACK RD STE LL1
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
NPI 1497540256 (631) 456-1126

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11763 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

COLLEEN M ROBERTS LMSW
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
JASMINE D MENDOZA RIVERA
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
JILLIAN GURBA KORB LCSW
Social Worker (Clinical)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
MARTHA TORRES LCSW
Social Worker (Clinical)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
REBECCA A AGOSTO
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 578-0652
LAUREN LALCHAND
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
JUDY JOSEPH LMSW
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
BENJAMIN CLARK LMSW
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919

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 Sibimol Niravath's NPI number?

The NPI number for Sibimol Niravath is 1235956095. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is Sibimol Niravath located?

Sibimol Niravath practices at 1727 N Ocean Ave, Medford, NY 11763. The listed phone number is (631) 654-1919.

What is Sibimol Niravath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sibimol Niravath enrolled in Medicare?

Yes. Sibimol Niravath is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sibimol Niravath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sibimol Niravath reassigns Medicare benefits to 3 organizations: Catholic Charities Of The Diocese Of Rockville Centre (Medford, NY), John T. Mather Memorial Hospital (Mount Sinai, NY) and Nurtured Minds Np In Psychiatry PLLC (Commack, NY). Each 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 Sibimol Niravath'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 Sibimol Niravath was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.