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MRS. REVATHI NAIR-RAGHAVAN PA-C
NPI 1710358296
Physician Assistant in Bronx, NY

Active since October 09, 2015PECOS Enrolled
100/100
CMS Quality Rating
111 EAST 210TH STREET, GROUND FLOOR, GOLD ZONE, BRONX, NY 10467(718) 920-5440(718) 863-5763 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2024, Nov 7, 2024, Oct 31, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Revathi Nair-raghavan Pa-c NPPES

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

MRS. REVATHI NAIR-RAGHAVAN PA-C (NPI 1710358296) is an individual physician assistant in Bronx, New York, licensed in New York (019039) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710358296
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. REVATHI NAIR-RAGHAVANCredential: PA-C
Location Address111 EAST 210TH STREET, GROUND FLOOR, GOLD ZONEBronx, NY 10467-2940
Mailing Address111 East 210th Street, Ground Floor, Gold ZoneBronx, NY 10467-2940 · (718) 920-5440 · Fax (718) 863-5763
Phone(718) 920-5440
Fax(718) 863-5763
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 9, 2015
Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1710358296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 019039
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 EAST 210TH STREET, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Revathi Nair-raghavan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587945431
PECOS Enrollment IDI20170109000408
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 10467 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

MS. AMY F ROWE F.N.P.
Nurse Practitioner
111 EAST 210TH STREET, MONTEFIORE SCHOOL HEALTH PROGRAM
BRONX, NY 10467
Bronx County (718) 696-4060
SHAMSU SAHALU BELLO MBBS
Student in an Organized Health Care Education/Training Program
111 EAST 210TH STREET, DEPARTMENT OF PATHOLOGY
BRONX, NY 10467
Bronx County (347) 518-0831
DANIEL LOCKETT LABOVITZ M.D.
Psychiatry & Neurology (Neurology)
111 EAST 210TH STREET, STERN STROKE CENTER
BRONX, NY 10467
Bronx County (718) 920-6444
LAURENCE J ADAMS PA
Physician Assistant
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Bronx County (718) 920-2961
MS. CLEMENCIA SOLORZANO RPH
Pharmacist
111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-8354
MONTEFIORE MEDICAL CENTER
Clinic/Center (Primary Care)
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
MONTEFIORE MEDICAL CENTER
General Acute Care Hospital
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
BARBARA C MCMILLION RNP
Nurse Practitioner
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Bronx County (718) 920-7373

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 Revathi Nair-raghavan's NPI number?

The NPI number for Revathi Nair-raghavan is 1710358296. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Where is Revathi Nair-raghavan located?

Revathi Nair-raghavan practices at 111 East 210th Street Ground Floor, Gold Zone, Bronx, NY 10467. The listed phone number is (718) 920-5440.

What is Revathi Nair-raghavan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Revathi Nair-raghavan enrolled in Medicare?

Yes. Revathi Nair-raghavan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Revathi Nair-raghavan was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.