Individual provider Active NPI

Gopi K Punukollu, M.D

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1184839284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
244121 Issued in NY
Practice address
New York Cardiology PC
9408 Flatlands Ave
Brooklyn, NY 11236
Phone
(212) 420-2231
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 244121 NY Primary

Addresses

Primary practice location

New York Cardiology PC
9408 Flatlands Ave
Brooklyn, NY 11236

Mailing address

88, Baltic St
Apt-2
Brooklyn, NY 11201

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
I20070829000048 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear MedicinePractitioner - Vascular SurgeryPractitioner - Other (Physician) 9537250428 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine, Vascular Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Wellness Physician PLLCGroup PAC ID 4486883477, 2 clinicians
New York Heart and Vascular Specialists PCGroup PAC ID 1557528569, 4 clinicians

Practice addresses (Care Compare)

1471 Dekalb Ave
Brooklyn, NY 11237-3894
Phone (347) 350-9344

3309 Church Ave
Brooklyn, NY 11203-2711
Phone (347) 425-1789

Hospital & facility affiliations

  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients
New York Heart and Vascular Specialists PC Cardiovascular Disease CurrentSince Oct 10, 2011 Accepting new patients
Wyckoff Professional Medical Services, PC Cardiovascular Disease CurrentSince Mar 1, 2015 Accepting new patients
Community Wellness Physician PLLC CurrentSince Oct 20, 2013 Accepting new patients
New York Cardiology PC Cardiovascular Disease CurrentSince Jun 1, 2007 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 2, 2015 Accepting new patients
New York Heart and Vascular Specialists PC Past Accepting new patients
Suryanarayan Anand MD PC Past Accepting new patients
Atlantic Cardiovascular Associates PLLC Cardiovascular Disease PastSince Jan 2, 2008 Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

814 E 156th St
Bronx, NY 10455
Phone (718) 665-0223

1471 DeKalb Ave
Brooklyn, NY 11237
Phone (516) 833-5505

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

3309 Church Ave
Brooklyn, NY 11203
Phone (347) 425-1789

1471 DeKalb Ave
Fl 4
Brooklyn, NY 11237
Phone (347) 425-1789

1419 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 455-4909

9408 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 212-0977

300 Community Dr
Ste 2
Manhasset, NY 11030
Phone (516) 562-3590

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFHDBA
  • Direct secure messaging: gopipunukollu@whmc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHABA/Endpoint/JIHABA

Organizations & group practices 11

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 1

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184839284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88, BALTIC ST",
            "address_2": "APT-2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK CARDIOLOGY PC",
            "address_2": "9408 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "212-420-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNUKOLLU",
        "first_name": "GOPI",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "244121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.