Individual provider Active NPI

Sunitha Polepalle, M.D.

  • Specialist
  • Newburgh, NY
National Provider Identifier
1073613246
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19889963 Issued in NY
Practice address
21 N Plank Rd
Newburgh, NY 12550-2128
Phone
(845) 565-5943
Fax
(845) 234-4556
NPI assigned
Sep 25, 2006
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19889963 NY Primary

Addresses

Primary practice location

21 N Plank Rd
Newburgh, NY 12550-2128

Mailing address

3 Shipwatch Dr
Newburgh, NY 12550-1342

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
I20061213000153 NY Practitioner - Physical Medicine and Rehabilitation 6305845710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19889963NYMDSpecialist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1073613246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHIPWATCH DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502128",
            "telephone_number": "845-565-5943",
            "fax_number": "845-234-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEPALLE",
        "first_name": "SUNITHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "19889963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.