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PRAVEEN RUDRARAJU M.D.
NPI 1285802694
Internal Medicine - Critical Care Medicine in Mount Kisco, NY

Active since February 19, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
400 EAST MAIN STREET, NORTHERN WESTCHESTER HOSPITAL, CRITICAL CARE, MOUNT KISCO, NY 10549(914) 666-1200(914) 666-1978 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Praveen Rudraraju M.d. NPPES

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

PRAVEEN RUDRARAJU M.D. (NPI 1285802694) is an individual critical care medicine provider in Mount Kisco, New York, licensed in New York (247554) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1285802694
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePRAVEEN RUDRARAJUCredential: M.D.
Location Address400 EAST MAIN STREET, NORTHERN WESTCHESTER HOSPITAL, CRITICAL CAREMount Kisco, NY 10549
Mailing Address400 East Main Street - Northern Westchester Hospital, Medical Affairs OfficeMt. Kisco, NY 10549 · (914) 666-1200 · Fax (914) 666-1965
Phone(914) 666-1200
Fax(914) 666-1978
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 19, 2008
✔ NPI 1285802694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NY · 247554
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 247554 (NY)
400 EAST MAIN STREET, Mount Kisco, NY 10549
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Praveen Rudraraju M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214009885
PECOS Enrollment IDI20080626000698
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

2

Medicare enrollment records show Praveen Rudraraju reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Westchester Hospital Association
0.1 mi
Emergency Medicine
400 EAST MAIN STREET, 4TH FLOOR
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • 76 clinicians in this Medicare group
NPI 1457789075 (914) 666-1200
North Shore-Lij Medical PC
28 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
294 services240 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
138 services138 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
106 services106 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
81 services81 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
25 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10549 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%249 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
19 suppliers357 claims357 services$32.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers260 claims260 services$72.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers252 claims629 services$27.19 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers202 claims1,097 services$14.77 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
13 suppliers127 claims695 services$12.08 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers397 claims398 services$44.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOYCE CLARK RD CDN
Dietitian, Registered
400 EAST MAIN STREET, NORTHERN WESTCHESTER HOSPITAL NUTRIONAL SERVICES DEPT
MT KISCO, NY 10549
Westchester County (914) 666-1465
MRS. MELISSA FERGUSON PAC
Physician Assistant (Medical)
400 EAST MAIN STREET, EMERGENCY DEPARTMENT
MT KISCO, NY 10549
Westchester County (203) 852-2281
REMUS MOUCHA MD
Emergency Medicine
400 EAST MAIN STREET, NORTHERN WESTCHESTER HOSPITAL EMERGENCY DEPARTMENT
MT KISCO, NY 10549
Westchester County (914) 666-1254
DR. SHERRI LYNN SANDEL M.D.
Hospitalist
400 EAST MAIN STREET, MEDICAL AFFIRS
MT. KISCO, NY 10549
Westchester County (914) 666-1200
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Emergency Medicine
400 EAST MAIN STREET, 4TH FLOOR
MOUNT KISCO, NY 10549
Westchester County (914) 666-1200
MITCHELL FISCHER DO
Emergency Medicine
400 EAST MAIN STREET, EMERGENCY DEPARTMENT NORTHERN WESTCHESTER HOSPITAL
MT KISCO, NY 10549
Westchester County (914) 666-1244
CHARLIE ZHAO MD
Hospitalist
400 EAST MAIN STREET, MEDICAL AFFAIRS
MT. KISCO, NY 10549
Westchester County (914) 666-1200
CHERYL CERASOLI R.N.F.A.
Registered Nurse (Medical-Surgical)
400 EAST MAIN STREET, PLASTIC AND RECONSTRUCTIVE SURGERY
MOUNT KISCO, NY 10549
Westchester County (914) 242-7610

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 Praveen Rudraraju's NPI number?

The NPI number for Praveen Rudraraju is 1285802694. It was assigned to this individual provider in the NPPES registry on February 19, 2008.

Where is Praveen Rudraraju located?

Praveen Rudraraju practices at 400 East Main Street Northern Westchester Hospital, Critical Care, Mount Kisco, NY 10549. The listed phone number is (914) 666-1200.

What is Praveen Rudraraju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Praveen Rudraraju enrolled in Medicare?

Yes. Praveen Rudraraju is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Praveen Rudraraju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Rudraraju reassigns Medicare benefits to 2 organizations: Northern Westchester Hospital Association (Mount Kisco, NY) and North Shore-Lij Medical PC (Great Neck, 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 Praveen Rudraraju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Praveen Rudraraju affiliated with any hospitals?

According to CMS data, Praveen Rudraraju is affiliated with Northern Westchester Hospital, Phelps Hospital and Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Praveen Rudraraju was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.