BROOKE A RAVEENDRANATH N.P.
NPI 1891849618
Nurse Practitioner - Pediatrics in Albany, NY

Q: What is Brooke Raveendranath's NPI number?

The NPI number for Brooke Raveendranath is 1891849618. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Brooke Raveendranath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since January 22, 2007PECOS Enrolled

6 EXECUTIVE PARK DR, ALBANY, NY 12203(518) 641-6319(518) 641-6850 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2021, Dec 8, 2020 (2 updates tracked since 2020).

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About Brooke A Raveendranath N.p. NPPES

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

BROOKE A RAVEENDRANATH N.P. (NPI 1891849618) is an individual pediatrics provider in Albany, New York, licensed in New York (381788) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Slingerlands.

NPPES Registry Identity

NPI1891849618

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBROOKE A RAVEENDRANATHCredential: N.P.

Location Address6 EXECUTIVE PARK DRAlbany, NY 12203-3791

Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094

Phone(518) 641-6319

Fax(518) 641-6850

Sole ProprietorNo

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJune 9, 20212 updates tracked since enumeration

NPPES CertifiedJune 9, 2021

✔ NPI 1891849618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 381788

6 EXECUTIVE PARK DR, Albany, NY 12203

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Secondary Practice Location 1

Location 11240 New Scotland Rd Ste 203Slingerlands, NY 12159-9222 · Phone (518) 478-9423

Other Identifiers 5

Other143259NY · Ghi-hmo

Other3010992NY · Mvp Healthcare

Medicaid02848268NY

Other000420465001NY · Bsneny

Other091210000047NY · Fidelis

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke A Raveendranath N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

St. Peter's Health Partners Medical Associates, P.C.

0.4 mi

Family Medicine

1444 WESTERN AVENUE SUITE C, ST. PETER'S FAMILY MEDICINE
Albany, NY 12203

Reassigned Medicare billing, New York enrollment
742 clinicians in this Medicare group

NPI 1598000655 (518) 533-6710

St. Peters Hospital Of The City Of Albany

2.1 mi

General Acute Care Hospital

1 PINE WEST PLAZA, SLEEP THERAPY EQUIPMENT
Albany, NY 12205

Reassigned Medicare billing, New York enrollment
623 clinicians in this Medicare group

NPI 1689749640 (518) 275-4090

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 12203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

COURTNEY CASSANDRA PECK FNP-BC

Nurse Practitioner (Family)

6 EXECUTIVE PARK DR
ALBANY, NY 12203

Albany County (518) 641-6319

JOHN CEVERA MD

Specialist

6 EXECUTIVE PARK DR, ENTR C
ALBANY, NY 12203

Albany County (518) 482-9111

SUSAN REST AU. D

Audiologist

6 EXECUTIVE PARK DR
ALBANY, NY 12203

Albany County (518) 482-9111

BARBARA SMITH NP

Nurse Practitioner

6 EXECUTIVE PARK DR, ENTR C
ALBANY, NY 12203

Albany County (518) 482-9111

JULIE SPEAR SCHERER CPNP-PC

Nurse Practitioner (Pediatrics)

6 EXECUTIVE PARK DR
ALBANY, NY 12203

Albany County (518) 452-1337

JOHN EDMUND PICKERING X

Speech-Language Pathologist

6 EXECUTIVE PARK DR
ALBANY, NY 12203

Albany County (518) 482-9111

MRS. KAITLYN LOUISE BLOISE CPNP-PC

Nurse Practitioner (Pediatrics)

6 EXECUTIVE PARK DR
ALBANY, NY 12203

Albany County (518) 641-6319

DR. JOHN D KOPP MD

Specialist

6 EXECUTIVE PARK DR
ALBANY, NY 12203

Albany County (518) 482-9111

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 Brooke Raveendranath's NPI number?

The NPI number for Brooke Raveendranath is 1891849618. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Brooke Raveendranath located?

Brooke Raveendranath practices at 6 Executive Park Dr, Albany, NY 12203. The listed phone number is (518) 641-6319.

What is Brooke Raveendranath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Brooke Raveendranath enrolled in Medicare?

Yes. Brooke Raveendranath is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brooke Raveendranath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Raveendranath reassigns Medicare benefits to 2 organizations: St. Peter's Health Partners Medical Associates, P.C. (Albany, NY) and St. Peters Hospital Of The City Of Albany (Albany, 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 Brooke Raveendranath'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 Brooke Raveendranath was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.