Individual provider Active NPI

Pranay Uppuluri, M.D.

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1396991451
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301108445 Issued in MI
Practice address
2678 South Rd Ste 202
Poughkeepsie, NY 12601-5254
Phone
(845) 790-5700
NPI assigned
Aug 8, 2008
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301108445 MI Primary

Addresses

Primary practice location

2678 South Rd Ste 202
Poughkeepsie, NY 12601-5254

Mailing address

2678 South Rd Ste 202
Poughkeepsie, NY 12601-5254
Phone (845) 790-5700

Other identifiers 3

IdentifierTypeStateIssuer
201320660MedicaidIN
0146631MedicaidOH
1396991451MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151113001302 NJ Practitioner - Diagnostic Radiology 0749597268 Reassigns benefits to 8 organizations
I20241217000525 NY Practitioner - Diagnostic Radiology 0749597268 Reassigns benefits to 3 organizations
I20260127004477 FL Practitioner - Diagnostic Radiology 0749597268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

79 Beechwood Ave
Edison, NJ 08837-2329
Phone (952) 905-5602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108445MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LCM Imaging Inc Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Round Rock Imaging LLC CurrentSince Dec 1, 2025 Accepting new patients
Preferred Imaging of Mesquite LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Preferred Imaging of McKinney, LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Preferred Open MRI, LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Preferred Imaging of Garland, LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Preferred Imaging of Amarillo, LLC CurrentSince Dec 1, 2025 Accepting new patients
Houston Premier Radiology Center Inc. CurrentSince Oct 1, 2024 Accepting new patients
Direct Imaging LLC CurrentSince Jun 16, 2017 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Oct 13, 2024 Accepting new patients
Essen Medical Associates, PC Diagnostic Radiology Current Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Preferred Imaging of Austin LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Preferred Imaging of Grapevine/Colleyville, LLC CurrentSince Dec 1, 2025 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Preferred Imaging of Irving LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Essen Medical Associates,PC CurrentSince Oct 13, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 13, 2024 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Jul 13, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Coastline Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Preferred Imaging of Corinth, LLC CurrentSince Dec 1, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Oct 13, 2024 Accepting new patients
Preferred Imaging of Plano, LLC CurrentSince Dec 1, 2025 Accepting new patients
Preferred Imaging of Frisco, LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology Past Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

3402 W Dr Martin Luther King Jr Blvd
Fl Cancer
Tampa, FL 33607
Phone (813) 875-3950

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1396991451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2678 SOUTH RD STE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015254",
            "telephone_number": "845-790-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2678 SOUTH RD STE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015254",
            "telephone_number": "845-790-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPULURI",
        "first_name": "PRANAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301108445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201320660",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146631",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396991451",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.