Ravi Chandra Pulipati, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

224728 Issued in NY

Practice address

33 Medford Ave
Suite a
Patchogue, NY 11772-1222

Phone

(631) 569-5410

Fax

(631) 569-5413

NPI assigned

Jul 30, 2008

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Vascular SurgeryAlso: General Surgery

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Surgery Associate of Suffolk County, PLLCGroup PAC ID 2466777230, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.53 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.78

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: rpulipati69230@northwell.direct-ci.com

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.

• Vascular Surgery Associate of Suffolk County, PLLC

  • Vascular Surgery Physician
  • Patchogue, NY
  • NPI 1477893113
  Medicare reassignment Care Compare group NPD
• Aaa Vascular Care PLLC

  • Vascular Surgery Physician
  • Great Neck, NY
  • NPI 1679732531
  NPD (past)
• Brookhaven Cardiac LLC

  • Cardiovascular Disease Physician
  • Patchogue, NY
  • NPI 1821177981
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1487810305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MEDFORD AVE",
            "address_2": "SUITE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721222",
            "telephone_number": "631-569-5410",
            "fax_number": "631-569-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MEDFORD AVE",
            "address_2": "SUITE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721222",
            "telephone_number": "631-569-5410",
            "fax_number": "631-569-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIPATI",
        "first_name": "RAVI",
        "middle_name": "CHANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "224728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Orthotics LTD
• Margherita N Proscia
• Sharon Nicole Provisiero, FNP
• Kareshma Puglisi, PA
• Bhargava Chandra Pulipati, M.D.
• Soma N Pulipati, MD
• Dimple Puthethukudi George, N P
• Elizabeth Quinlan, R-LCSW
• Iman Kamran Qureshi, PA-C
• Shoaib W Qureshi, R.PH.

• Vascular Surgery Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.