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

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: August 16, 2026.

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

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
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.