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DR. GLADYS YANETH RAVENEAU M.D.
NPI 1902038870
Pediatrics in Bronx, NY

Active since August 11, 2009PECOS Enrolled
960 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gladys Yaneth Raveneau M.d. NPPES

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

DR. GLADYS YANETH RAVENEAU M.D. (NPI 1902038870) is an individual pediatrics provider in Bronx, New York, licensed in New York (251071) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902038870
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GLADYS YANETH RAVENEAUCredential: M.D.
Location Address960 SOUTHERN BLVDBronx, NY 10459-3402
Mailing Address1065 Southern BlvdBronx, NY 10459-2417 · (718) 589-2440 · Fax (718) 991-4516
Phone(718) 589-2440
Sole ProprietorNo
Enumeration DateAugust 11, 2009
Last NPPES UpdateMarch 11, 2013
✔ NPI 1902038870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 251071
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
960 SOUTHERN BLVD, Bronx, NY 10459
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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 (PECOS)

Dr. Gladys Yaneth Raveneau M.d. 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 Reassignment

Medicare enrollment records show Gladys Raveneau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urban Health Plan, Inc.
0.2 mi
Federally Qualified Health Center (FQHC)
1065 SOUTHERN BLVD
Bronx, NY 10459
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
NPI 1265596548 (718) 589-2440

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 10459 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
$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.

Other Providers at the Same Location NPPES 9

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

MELISSA JEAN MONTALVO PA-C
Physician Assistant
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
CHITARA L. WAITERS LCSW
Social Worker (Clinical)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (347) 331-6572
NATASHA ROMAN
Social Worker
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-4755
CATHERINE VELUPILLAI
Pediatrics
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-4755
MISS KISALYN DAWN MICHAEL LCSW
Social Worker (Clinical)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
URBAN HEALTH PLAN, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
MS. ESTER ROSE WASSERMAN CPNP-PC
Nurse Practitioner (Pediatrics)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
MS. AMA B DEGRAFT-JOHNSON M.D.
Pediatrics (Adolescent Medicine)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440

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 Gladys Raveneau's NPI number?

The NPI number for Gladys Raveneau is 1902038870. It was assigned to this individual provider in the NPPES registry on August 11, 2009.

Where is Gladys Raveneau located?

Gladys Raveneau practices at 960 Southern Blvd, Bronx, NY 10459. The listed phone number is (718) 589-2440.

What is Gladys Raveneau's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gladys Raveneau enrolled in Medicare?

Yes. Gladys Raveneau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gladys Raveneau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gladys Raveneau reassigns Medicare benefits to Urban Health Plan, Inc. (Bronx, NY). The 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 Gladys Raveneau'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 Gladys Raveneau was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.