Subbaraju Polepalli, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

136280 Issued in NY

Practice address

741 Jewett Ave
Staten Island, NY 10314-2809

Phone

(718) 816-8056

Fax

(718) 817-8475

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Richmond University Medical Center

  • Multi-Specialty Clinic/Center
  • Staten Island, NY
  • NPI 1811054042
  NPD (past)
• University Physicians Group P C

  • General Practice Physician
  • Staten Island, NY
  • NPI 1104872134

  Internal Medicine

  NPD (past)
• William Tursi, M.D., PLLC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1356513204
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1235234543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 140208",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-816-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 JEWETT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142809",
            "telephone_number": "718-816-8056",
            "fax_number": "718-817-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEPALLI",
        "first_name": "SUBBARAJU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01644408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prajakta Pohekar
• Ngowari Itoro-Obong Pokima
• Sarah Grazyna Pokrzywa, DO
• Monika Pol-Wnuk, PA
• Srikant Polepalli, M.D.
• Deborah S Poleshuck, C.C.C./SLP
• Jacqueline Poli
• Policy Research International Inc
• Jaclyn Polimeni
• Marino A Poliseno, DO

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.