Individual provider Active NPI

Loris Omesh Drepaul, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1316181712
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
198070 Issued in NY
Practice address
1927 Williamsbridge Rd
Bronx, NY 10461-1604
Phone
(718) 828-1549
Fax
(718) 828-5029
NPI assigned
Apr 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 198070 NY Primary

Addresses

Primary practice location

1927 Williamsbridge Rd
Bronx, NY 10461-1604

Mailing address

1927 Williamsbridge Rd
Bronx, NY 10461-1604
Phone (718) 828-1549

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
I20090623000401 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 5597816074 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Ave Family Medical Center Inc Internal Medicine CurrentSince Sep 3, 2016 Accepting new patients
Personal Touch Medical of Throgs Neck Rehabilitation & Physical Med PastSince Mar 20, 2025 Accepting new patients

Locations

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1316181712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611604",
            "telephone_number": "718-828-1549",
            "fax_number": "718-828-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611604",
            "telephone_number": "718-828-1549",
            "fax_number": "718-828-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREPAUL",
        "first_name": "LORIS",
        "middle_name": "OMESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.