Active NPI
Pratibha Vemulapalli, MD
- Surgery Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 228867
- Practice address
- 3400 Bainbridge Ave
Map 4TH Floor
Bronx, NY 10467-2404 - Phone
- (718) 920-8874
- Fax
- (718) 798-1883
- NPI assigned
- Oct 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 228867 | NY | Primary |
Addresses
Primary practice location
3400 Bainbridge Ave
Map 4TH Floor
Bronx, NY 10467-2404
Mailing address
3400 Bainbridge Ave
Map 4TH Floor
Bronx, NY 10467-2404
Phone (718) 920-8874
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
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000
1000 N Village Ave
Rockville Center, NY 11570-1000
2200 Northern Blvd
Greenvale, NY 11548-1221
540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2555
580 Union Blvd
West Islip, NY 11795-3105
Phone (631) 321-3801
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228867 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Be Well Primary Health Care Center, LLC | Current | Accepting new patients | |
| Goldstep Ambulatory Surgery Center, LLC | Current | Accepting new patients | |
| Montefiore Medical Center | Surgery | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| TBHC Physician Services PC | Surgery | Current | Accepting new patients |
| TBHC Physician Services PC | Current | Accepting new patients | |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients | |
| The Brooklyn Hospital Center | Past | Accepting new patients |
Locations
1575 Blondell Ave
Bronx, NY 10461
Phone (718) 405-8260
2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300
1521 Jarret Pl
Bronx, NY 10461
Phone (718) 239-8733
600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640
1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444
111 E 210th St
Bronx, NY 10467
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
86 Saint Felix St
Fl B
Brooklyn, NY 11217
2200 Northern Blvd
Ste 125
Greenvale, NY 11548
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
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
580 Union Blvd
West Islip, NY 11795
Phone (631) 321-6801
1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- pvemulapalli171317@direct-chsli.net
- pvemulapalli11252@prd.direct.tbh.org
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Brooklyn Hospital Center | Hospital | Corporate Director | Jan 3, 2017 |
| The Brooklyn Hospital Center | Hospital | Corporate Director | Jan 3, 2017 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
Corporate Director
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1790719524
Corporate Director
Organizations & group practices 10
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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1083623409
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1689059222
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Health Educator
- Brooklyn, NY
- NPI 1558213280
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1609958875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE",
"address_2": "MAP 4TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-8874",
"fax_number": "718-798-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE",
"address_2": "MAP 4TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-8874",
"fax_number": "718-798-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEMULAPALLI",
"first_name": "PRATIBHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "228867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.