Chaitan Devulapalli, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

307678 Issued in NY

Practice address

500 Mamaroneck Ave Ste 211
Harrison, NY 10528-1600

Phone

(914) 771-7373

Fax

(914) 337-6757

NPI assigned

Mar 30, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Chaitu Devulapalli Former name

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Plastic and Reconstructive Surgery

Education

Jefferson Medical College of Thomas Jefferson University, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
• Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chaitan.devulapalli.1@21260.direct.athenahealth.com
• Direct secure messaging: cdevulapalli67963@northwell.direct-ci.com
• Direct secure messaging: cdevulapalli331302@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Devulapalli Medical PLLC

  • Plastic Surgery Physician
  • Harrison, NY
  • NPI 1114606555

  Single Specialty

  Medicare reassignment NPD Authorized official
• Frank Ciminello Medical, PC

  • Plastic Surgery Physician
  • Maywood, NJ
  • NPI 1619227774

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Westchester Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Kisco, NY
  • NPI 1396178356
  Care Compare affiliation
• Northern Westchester Hospital Association

  • General Acute Care Hospital
  • Mount Kisco, NY
  • NPI 1912992215
  Care Compare affiliation
• White Plains Hospital Medical Center

  • General Acute Care Hospital
  • White Plains, NY
  • NPI 1447255153
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1003105099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE STE 211",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281600",
            "telephone_number": "914-771-7373",
            "fax_number": "914-337-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE STE 211",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281600",
            "telephone_number": "914-771-7373",
            "fax_number": "914-337-6757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Reservoir Road NW, PHC Building, 1st Floor",
            "address_2": "Dept Of Plastic Surgery",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20007",
            "country_code": "US",
            "telephone_number": "202-444-8612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Mamaroneck Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105281600",
            "country_code": "US",
            "telephone_number": "914-771-7373",
            "fax_number": "914-337-6757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVULAPALLI",
        "first_name": "CHAITAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA10972000",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "307678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAITU",
            "last_name": "DEVULAPALLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Demartino, PT
• Dermatology Associates of New York, PLLC
• Jane Elliott S Desouza, MPS, ATR-BC, LCAT
• Claire Devine
• Devulapalli Medical PLLC
• Yasmin Dhar, M.D.
• Kristin Ann Di Vico, LMSW, MSPT
• Sarah Diaz
• Ruth Petra Antoinette Dieleman-Levine, D.D.S.
• Jeanne C. Dietrich

• Plastic and Reconstructive Surgery Physician in Harrison, NY
• Providers in Harrison, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.