Individual provider Active NPI

Sotir Polena, MD

  • Interventional Cardiology Physician
  • Huntington, NY
National Provider Identifier
1023206505
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
243927 Issued in NY
Practice address
172 E Main St
Huntington, NY 11743-2948
Phone
(631) 385-0022
Fax
(631) 385-0896
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 243927 NY
Interventional Cardiology Physician 207RI0011X 243927 NY Primary

Addresses

Primary practice location

172 E Main St
Huntington, NY 11743-2948

Mailing address

172 E Main St
Huntington, NY 11743-2948
Phone (631) 385-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090903000007 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1557416120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajeswara Rao Patcha, MD,PCGroup PAC ID 9638068323, 8 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

172 E Main St
Huntington, NY 11743-2948
Phone (631) 385-0022

270 Park Ave
Suite 1
Huntington, NY 11743-2787
Phone (631) 351-2219

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting33
Pacemaker insertion or repair1-10
Varicose vein removal110
Leg revascularization (restoring blood flow)13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Feb 1, 2017 Accepting new patients
Northwell Health Current Accepting new patients
Rajeswara Rao Patcha, MD,PC Cardiovascular Disease CurrentSince Jul 21, 2009 Accepting new patients
Balveen Singh MD PLLC Cardiovascular Disease Past Accepting new patients

Locations

373 W Main St
Babylon, NY 11702
Phone (516) 822-6655

31 Centershore Rd
Centerport, NY 11721
Phone (631) 425-1292

16 Van Cott Rd
Ste 2E
Deer Park, NY 11729
Phone (631) 274-0777

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

172 E Main St
Huntington, NY 11743
Phone (631) 278-3622

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: spolena64526@northwell.direct-ci.com
  • Direct secure messaging: sotirpolena@northwell.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIAIAD/Endpoint/GIAIAD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1023206505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432948",
            "telephone_number": "631-385-0022",
            "fax_number": "631-385-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432948",
            "telephone_number": "631-385-0022",
            "fax_number": "631-385-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLENA",
        "first_name": "SOTIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "243927",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "243927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.