Active NPI
Satya Polavarapu, MD
- Maternal & Fetal Medicine Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 216058-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001453513 | Medicaid | CT |
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045351 | CT | MD | Maternal & Fetal Medicine Physician |
| 216058-1 | NY | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| HP Medical PC | Maternal & Fetal Medicine | Current | Accepting new patients |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Maternal & Fetal Medicine | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| HP Medical PC | Current | 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
- https://fhir4.healow.com/fhir/r4/EAEHAA
- 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.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Maternal & Fetal Medicine
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1497161855
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1700914330
Maternal & Fetal Medicine
-
- Obstetrics & Gynecology Physician
- East Islip, NY
- NPI 1255439113
Maternal & Fetal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.