Individual provider Active NPI

Sekhar Gollapalli, M.D

  • Internal Medicine Physician
  • Hauppauge, NY
National Provider Identifier
1619932167
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216950 Issued in NY
Practice address
497 Townline Rd
Hauppauge, NY 11788-2825
Phone
(631) 724-2340
Fax
(631) 724-2342
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216950 NY Primary

Addresses

Primary practice location

497 Townline Rd
Hauppauge, NY 11788-2825

Mailing address

497 Townline Rd
Hauppauge, NY 11788-2825
Phone (631) 724-2340

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
I20040825001327 NY Practitioner - Internal Medicine 6406820216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

497 Townline Rd
Hauppauge, NY 11788-2825
Phone (631) 724-2340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216950NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sekhar Gollapalli MD PC Internal Medicine CurrentSince Jul 22, 2003 Accepting new patients
Clayton Healthcare, P.C. Internal Medicine PastSince Aug 18, 2019 Accepting new patients

Locations

497 Townline Rd
Hauppauge, NY 11788
Phone (631) 724-2340

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABDDD/Endpoint/IABDDD

Organizations & group practices 2

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 5

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619932167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 TOWNLINE RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882825",
            "telephone_number": "631-724-2340",
            "fax_number": "631-724-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 TOWNLINE RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882825",
            "telephone_number": "631-724-2340",
            "fax_number": "631-724-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLAPALLI",
        "first_name": "SEKHAR",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.