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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Sibimol Niravath was last updated on April 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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.

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