Individual provider Active NPI

Soma N Pulipati, MD

  • Cardiovascular Disease Physician
  • Patchogue, NY
National Provider Identifier
1295737187
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
127012 Issued in NY
Practice address
475 E Main St
Ste 205
Patchogue, NY 11772-3121
Phone
(631) 654-2386
Fax
(631) 447-3852
NPI assigned
Aug 11, 2005
Last updated
Nov 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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 127012 NY Primary

Addresses

Primary practice location

475 E Main St
Ste 205
Patchogue, NY 11772-3121

Mailing address

475 E Main St
Ste 205
Patchogue, NY 11772-3121
Phone (631) 654-2386

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
I20101006000383 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638294903 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
Vascular Surgery Associate of Suffolk County, PLLCGroup PAC ID 2466777230, 3 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1000 N Village Ave
Rockville Center, NY 11570-1000

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

33 Medford Ave
Suite a
Patchogue, NY 11772-1222
Phone (631) 569-5410

55 Medford Ave
Unit E
Patchogue, NY 11772-1229
Phone (631) 689-6698

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Nov 6, 2022 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince Aug 17, 2022 Accepting new patients
New York University Cardiovascular Disease CurrentSince Nov 6, 2022 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Vascular Surgery Associate of Suffolk County, PLLC Cardiovascular Disease CurrentSince Dec 3, 2025 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. CurrentSince Aug 1, 2010 Accepting new patients
CHS Physician Partners, PC CurrentSince Aug 17, 2022 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Aug 1, 2010 Accepting new patients
Brookhaven Neurology PLLC Past Accepting new patients
Aaa Vascular Care PLLC Past Accepting new patients

Locations

74 Southaven Ave
Ste E
Medford, NY 11763
Phone (516) 654-2386

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

33 Medford Ave
Patchogue, NY 11772
Phone (212) 255-2333

33 Medford Ave
Ste A
Patchogue, NY 11772
Phone (631) 569-5410

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Interoperability endpoints

  • Direct secure messaging: soma.pulipati@brookcardiac.ehi.direct-ci.com
  • Direct secure messaging: spulipati504892@nyumc.direct-ci.com
  • Direct secure messaging: spulipati94467@direct-chsli.net

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1295737187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "STE 205",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-654-2386",
            "fax_number": "631-447-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "STE 205",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-654-2386",
            "fax_number": "631-447-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIPATI",
        "first_name": "SOMA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "127012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.