Individual provider Active NPI

Pratibha Vemulapalli, MD

  • Surgery Physician
  • Bronx, NY
National Provider Identifier
1609958875
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
228867 Issued in NY
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

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001151 NY Practitioner - General Surgery 8123099272 Reassigns benefits to 5 organizations

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
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228867NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 6, 2025 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Apr 15, 2019 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Apr 1, 2019 Accepting new patients
Montefiore Medical Center Surgery CurrentSince Jan 1, 2006 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2006 Accepting new patients
TBHC Physician Services PC Surgery CurrentSince Jan 16, 2017 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

  • Direct secure messaging: pvemulapalli171317@direct-chsli.net
  • Direct secure messaging: 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.

FacilityTypeRoleSince
The Brooklyn Hospital CenterBrooklyn, NY, CCN 330056 Hospital Corporate Director Jan 3, 2017
The Brooklyn Hospital CenterBrooklyn, NY, CCN 33T056 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.

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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.