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ETHAN RAVETCH M.D.
NPI 1447645445
Surgery in Bronx, NY

Active since April 06, 2015PECOS Enrolled
1250 WATERS PLACE, TOWER 1, 7TH FLOOR, BRONX, NY 10461(929) 246-6300 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Ravetch M.d. NPPES

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

ETHAN RAVETCH M.D. (NPI 1447645445) is an individual surgery provider in Bronx, New York, licensed in New York (290370) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1447645445
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameETHAN RAVETCHCredential: M.D.
Location Address1250 WATERS PLACE, TOWER 1, 7TH FLOORBronx, NY 10461
Mailing Address1468 Madison AveNew York, NY 10029-6508 · (212) 241-6500
Phone(929) 246-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1447645445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 290370
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1250 WATERS PLACE, Bronx, NY 10461
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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 696-2583 · Fax (718) 881-5074

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Ravetch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204363666
PECOS Enrollment IDI20241224000444
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.

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

BRIAN M. MOYNIHAN DPT
Physical Therapist
1250 WATERS PLACE, SUITE 501
BRONX, NY 10461
Bronx County (718) 409-9444
OCCUPATIONAL THERAPY ASSOCIATES OF NEW YORK PLLC
Occupational Therapist
1250 WATERS PLACE, STE. 501
BRONX, NY 10461
Bronx County (718) 319-1740
DR. CHITRA PUNJABI KATIYAR MD
Internal Medicine (Infectious Disease)
1250 WATERS PLACE, TOWER II, 12TH FLOOR
NEW YORK, NY 10461
Bronx County (866) 633-8255
SPEAR PHYSICAL THERAPY, LLC
Physical Therapist
1250 WATERS PLACE
BRONX, NY 10461
Bronx County (212) 759-2282
MONTEFIORE MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
1250 WATERS PLACE, TOWER 1, 11TH FLOOR
BRONX, NY 10461
Bronx County (347) 577-4421
JOSEPH WARREN RINALDI MD
Internal Medicine (Gastroenterology)
1250 WATERS PLACE, TOWER TWO
BRONX, NY 10461
Bronx County (866) 633-8255
MELODY ALEXIS BAEZ
Physical Therapist
1250 WATERS PLACE, TOWER 1, SUITE 501
BRONX, NY 10461
Bronx County (718) 409-9444
DR. CHRISTOPHER ANDRADE M.D.
Internal Medicine (Gastroenterology)
1250 WATERS PLACE, TOWER ONE, SUITE 1201
BRONX, NY 10461
Bronx County (718) 239-0115

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 Ethan Ravetch's NPI number?

The NPI number for Ethan Ravetch is 1447645445. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Ethan Ravetch located?

Ethan Ravetch practices at 1250 Waters Place Tower 1, 7th Floor, Bronx, NY 10461. The listed phone number is (929) 246-6300.

What is Ethan Ravetch's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ethan Ravetch enrolled in Medicare?

Yes. Ethan Ravetch is registered in the Medicare PECOS enrollment system.

Is Ethan Ravetch affiliated with any hospitals?

According to CMS data, Ethan Ravetch is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Ethan Ravetch was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.