NPIMap

Individual provider Active NPI

Venugopal Reddy Palla, MD

  • Internal Medicine Physician
  • Syosset, NY
National Provider Identifier
1104995075
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2111291 Issued in NY
Practice address
8 Greenfield Road
Syosset, NY 11791
Phone
(516) 496-7900
Fax
(516) 496-2139
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2111291 NY Primary
Cardiovascular Disease Physician 207RC0000X 2111291 NY

Addresses

Primary practice location

8 Greenfield Road
Syosset, NY 11791

Mailing address

8 Greenfield Road
Syosset, NY 11791
Phone (516) 496-7900

Other identifiers 1

IdentifierTypeStateIssuer
02390807MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000484 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 0446237259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Medical Group at Syosset PCGroup PAC ID 2961687504, 5 clinicians

Practice addresses (Care Compare)

9 Brooksite Dr
Smithtown, NY 11787-3400
Phone (631) 724-1331

Hospital & facility affiliations

  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2111291NYMDCardiovascular Disease Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Huntington Hospital Association Cardiovascular Disease CurrentSince Oct 8, 2002 Accepting new patients
Huntington Hospital Association CurrentSince Oct 8, 2002 Accepting new patients
Huntington Hospital Association Current Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients

Locations

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

241 E Main St
Unit 1D
Huntington, NY 11743
Phone (631) 421-5885

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

300 Community Dr
Plandome, NY 11030

9 Brooksite Dr
Smithtown, NY 11787
Phone (631) 724-1331

8 Greenfield Rd
Syosset, NY 11791
Phone (516) 496-3001

972 Brush Hollow Rd
Westbury, NY 11590

43 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 938-3000

Networks

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

Interoperability endpoints

  • Direct secure messaging: venugopalpalla@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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 11

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104995075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GREENFIELD ROAD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-496-7900",
            "fax_number": "516-496-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GREENFIELD ROAD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-496-7900",
            "fax_number": "516-496-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLA",
        "first_name": "VENUGOPAL",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2111291",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "2111291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02390807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.