Active NPI
Mahesh Polavarapu, M.D.
- Emergency Medicine Physician
- Bronxville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C1-0013211
- Practice address
- 55 Palmer Ave PH 209
Bronxville, NY 10708-3403 - Phone
- (302) 733-1042
- NPI assigned
- Feb 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C1-0013211 | DE | Primary |
Addresses
Primary practice location
55 Palmer Ave PH 209
Bronxville, NY 10708-3403
Mailing address
55 Palmer Ave PH 209
Bronxville, NY 10708-3403
Other practice location 1
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1806
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | map9447@direct.nyp.org | Direct | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, NY, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Emergency Physicians LLC
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
- Christiana Hospital
- New York-Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0013211 | DE | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Emergency Medicine | Current | Accepting new patients |
| Christiana Care Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Christiana Care Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Emergency Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
621 Middletown Odessa Rd
Middletown, DE 19709
Phone (302) 203-1300
4755 Ogletownstanton Rd
Newark, DE 19718
Phone (302) 733-6510
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
55 Palmer Ave
Ph 209
Bronxville, NY 10708
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- map9447@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 8
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Emergency Medicine Physician
- Newark, DE
- NPI 1639956451
-
- Emergency Medicine Physician
- Elkton, MD
- NPI 1871375899
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Emergency Medicine
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1952335556
Emergency Medicine
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1164812889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 PALMER AVE PH 209",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107083403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PALMER AVE PH 209",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107083403",
"telephone_number": "302-733-1042"
}
],
"practiceLocations": [
{
"address_1": "4755 Ogletown Stanton Rd",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-1806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLAVARAPU",
"first_name": "MAHESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-02",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "C1-0013211",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "55 Palmer Ave Ph 209",
"city": "Bronxville",
"state": "NY",
"country_code": "US",
"postal_code": "107083403",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "map9447@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "55 Palmer Ave Ph 209",
"city": "Bronxville",
"state": "NY",
"country_code": "US",
"postal_code": "107083403",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "55 Palmer Ave Ph 209",
"city": "Bronxville",
"state": "NY",
"country_code": "US",
"postal_code": "107083403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronxville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.