NPPES file of Aug 9, 2026

Roheen Raithatha, M.D.

Otolaryngology Physician · New York, NY

Roheen Raithatha, M.D. is an otolaryngology physician with a practice address in New York, New York, and NPI 1851558936, issued on May 17, 2008. Check the license (New York 249535, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1851558936
Name
Roheen Raithatha
Credential
M.D.
Primary taxonomy
Otolaryngology Physician 207Y00000X
License number
249535 NY
Self-reported in NPPES; status is on the state search
Practice location
261 5TH Ave RM 901, New York, NY 10016
Phone
(212) 679-3499
Enumerated
May 17, 2008
Record last updated
Jul 25, 2025
Fax
(212) 683-4551
Medicare enrollment
Enrolled (PECOS I20131001000571); accepts Medicare assignment
Medical or professional school
Tufts University School Of Medicine, 2007
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 261 5TH Ave RM 901

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Taylor Couvillon, AUDAudiologist1104471788
  2. Jay Dolitsky, M.D.Pediatric Otolaryngology Physician1649219783
  3. Jenna EliasAudiologist1649477613
  4. David Godin, M.D.Otolaryngology Physician1053350686
  5. Sharon Gruboy, AUDAudiologist1831088533
  6. Kurt Kaczmar, PA-CPhysician Assistant1023729829

Verify Roheen Raithatha in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 249535
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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70% fewer Medicare Part D claims than the average otolaryngology physician in 2024

163 Medicare Part D claims for 60 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 50% of claims.

  1. Roheen Raithatha163
  2. Specialty average541

Most prescribed

  1. Dupixent Pen47 claims
  2. Fluticasone Propionate23 claims
  3. Dupixent Syringe21 claims
  4. Doxycycline Hyclate11 claims
  5. Ipratropium Bromide11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 91.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score84.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $135,255.86

167 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Roheen Raithatha$135,256
  2. Specialty average$1,923

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Ent And Allergy Associates LLPYonkers, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Roheen Raithatha among 765 otolaryngology physician records in New York

Roheen Raithatha, M.D. is one of 765 otolaryngology physician records with a practice address in New York. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 63% of them.

  • NPI issued2008 · 63% of these records are older, 31% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated2007 · median 2001 among the 542 with a school on file
  • Record last updated2025 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in New York

There are 765 otolaryngology physician records in New York.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Milan Amin, MDNew York, NY 100161972588036
  2. Sheila Apicella, MDNew York, NY 100161538272273
  3. David Godin, M.D.New York, NY 100161053350686
  4. Scott Gold, MDNew York, NY 100161669585394
  5. Adam Jacobson, M.D.New York, NY 100161265545792
  6. Lane Krevitt, MDNew York, NY 100161801909544
  7. Richard Lebowitz, MDNew York, NY 100161285653832
  8. Nancy Malek, D.O.New York, NY 100161568424653

Common questions

What is Roheen Raithatha, M.D.'s NPI number?

Roheen Raithatha, M.D.'s National Provider Identifier (NPI) is 1851558936, issued on May 17, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Roheen Raithatha, M.D. located?

The NPPES record lists a practice address at 261 5TH Ave RM 901, New York, NY, 10016. Phone: (212) 679-3499. Providers update this record themselves, so call before visiting.

How can I verify Roheen Raithatha, M.D.'s license?

NPPES lists New York license number 249535, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Roheen Raithatha, M.D. prescribe under Medicare Part D?

In 2024, Roheen Raithatha, M.D. had 163 Medicare Part D claims for 60 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is Roheen Raithatha, M.D.'s MIPS final score?

The 2023 MIPS final score is 91.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.