Raquel Shivanna Sookram, FNP - Nurse Practitioner in Ridgewood, NY

Raquel Shivanna Sookram, FNP is a Nurse Practitioner based in Ridgewood, New York. Raquel Shivanna Sookram is licensed to practice in New York (license number F346461-01) and her current practice location is 5505 Myrtle Ave, Ridgewood, New York. She can be reached at her office (for appointments etc.) via phone at (718) 471-6454.

NPI number for Raquel Shivanna Sookram is 1841807799 and her current mailing address is 10922 123rd St, South Ozone Park, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841807799.

Contact Information

Raquel Shivanna Sookram, FNP
5505 Myrtle Ave,
Ridgewood, NY 11385-3550
(718) 471-6454
Not Available

Map and Direction




Provider's Profile

Full NameRaquel Shivanna Sookram
GenderFemale
SpecialityNurse Practitioner
Location5505 Myrtle Ave, Ridgewood, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841807799
  • Provider Enumeration Date: 09/24/2020
  • Last Update Date: 09/24/2020

Medical Identifiers

Medical identifiers for Raquel Shivanna Sookram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841807799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner F346461-01 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raquel Shivanna Sookram is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Raquel Shivanna Sookram, FNP
10922 123rd St,
South Ozone Park, NY 11420-1424

Ph: () -
Raquel Shivanna Sookram, FNP
5505 Myrtle Ave,
Ridgewood, NY 11385-3550

Ph: (718) 471-6454

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.