Individual provider Active NPI

Satya Polavarapu, MD

  • Maternal & Fetal Medicine Physician
  • Farmington, CT
National Provider Identifier
1407815152
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
216058-1 Issued in NY
Practice address
263 Farmington Ave
Farmington, CT 06030-2950
Phone
(860) 679-3387
Fax
(860) 679-1271
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 045351 CT
Maternal & Fetal Medicine Physician 207VM0101X 216058-1 NY Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-2950

Mailing address

263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
Phone (860) 679-7503

Other identifiers 1

IdentifierTypeStateIssuer
001453513MedicaidCT

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
I20050414001178 NY Practitioner - Obstetrics/Gynecology 2567409170 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
H.P Medical P.CGroup PAC ID 2961442546, 2 clinicians

Practice addresses (Care Compare)

1 Grant Ave
Suite 1
Islip, NY 11751-3527
Phone (631) 376-3251

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

1000 N Village Ave
Rockville Center, NY 11570-1000

556 Montauk Hwy
West Islip, NY 11795-4407
Phone (631) 376-3251

747 Montauk Hwy
Suite 4
West Islip, NY 11795-4911
Phone (631) 376-3251

774 Broadway
Suite 2B
Brooklyn, NY 11206-8134
Phone (347) 335-0305

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045351CTMDMaternal & Fetal Medicine Physician
216058-1NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Jun 6, 2017 Accepting new patients
Mercy Medical Center CurrentSince Jun 6, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Sep 1, 2016 Accepting new patients
HP Medical PC Maternal & Fetal Medicine CurrentSince Nov 1, 2021 Accepting new patients
CHS Physician Partners, P.C CurrentSince Oct 1, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Maternal & Fetal Medicine CurrentSince Sep 1, 2016 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
HP Medical PC CurrentSince Nov 1, 2021 Accepting new patients
OB GYN Associates at Long Island College Hospital Maternal & Fetal Medicine Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients
South Shore Gynecology Obstetrics Associates PC Maternal & Fetal Medicine Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

76 Manhattan Ave
#1
Brooklyn, NY 11206
Phone (347) 335-0305

496 DeKalb Ave
Brooklyn, NY 11205
Phone (718) 638-6278

55 Greene Ave
Ste 2C
Brooklyn, NY 11238
Phone (347) 335-0333

83 W Main St
East Islip, NY 11730
Phone (631) 277-5800

19 Bradhurst Ave
Ste 2700S
Hawthorne, NY 10532
Phone (914) 493-2250

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

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

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAEHAA
  • Direct secure messaging: spolavarapu102567@direct-chsli.net

Organizations & group practices 13

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.

View all 13

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1407815152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302950",
            "telephone_number": "860-679-3387",
            "fax_number": "860-679-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAVARAPU",
        "first_name": "SATYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CT",
            "license": "045351",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "216058-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001453513",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.