Active NPI
HP Medical PC
Doing business as tru medical management
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1619944550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 220917
- Legal business name
- HP MEDICAL PC
- Doing business as
- tru medical management
- Practice address
- 774 Broadway Ste 2B
Brooklyn, NY 11206-5316 - Phone
- (347) 335-0305
- Fax
- (718) 638-2043
- NPI assigned
- Feb 28, 2006
- Last updated
- Dec 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hari K Polavarapu, M.D
- Title
- President
- Phone
- (347) 335-0305
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | 220917 | NY | Primary |
| Clinical & Laboratory Immunology (Internal Medicine) Physician | 207RI0001X | NU | ||
| Maternal & Fetal Medicine Physician | 207VM0101X | NU | ||
| Gynecologic Oncology Physician | 207VX0201X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Mobile Radiology Clinic/Center | 261QR0208X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
774 Broadway Ste 2B
Brooklyn, NY 11206-5316
Mailing address
333 Rector PL Apt 504
New York, NY 10280-1214
Phone (917) 454-8474
Other practice location 1
496 Dekalb ave
brooklyn, NY 11205-4808
Phone (718) 638-6278
Other practice location 2
55 Greene Ave Ste 2C
Brooklyn, NY 11238-6432
Phone (718) 638-6278
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02142478 | Medicaid | NY | |
| 03520041 | Medicaid | NY |
Other names 1
- tru medical management
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090506000054 | NY | Part B Supplier - Clinic/Group Practice | 2961442546 |
Receives reassigned benefits from 7 practitioners Practice locations: Brooklyn, NY |
| O20100930067722 | NY | DME Supplier - Physician - General Practice | 2961442546 | Practice locations: Brooklyn, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba tru medical management
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1497161855
2961442546
National Provider Directory
National Provider DirectoryLocations
496 DeKalb Ave
Brooklyn, NY 11205
Phone (718) 638-6278
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- New York, NY
- NPI 1760551816
-
- Family Medicine Physician
- Bronx, NY
- NPI 1003310699
-
- Women's Health Nurse Practitioner
- Brooklyn, NY
- NPI 1992304604
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1619545951
-
- Public Health & General Preventive Medicine Physician
- Long Island City, NY
- NPI 1104232040
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1619944550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 RECTOR PL APT 504",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102801214",
"telephone_number": "917-454-8474",
"fax_number": "718-638-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 BROADWAY STE 2B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065316",
"telephone_number": "347-335-0305",
"fax_number": "718-638-2043"
}
],
"practiceLocations": [
{
"address_1": "496 Dekalb ave",
"address_purpose": "LOCATION",
"city": "brooklyn",
"state": "NY",
"postal_code": "112054808",
"country_code": "US",
"telephone_number": "718-638-6278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Greene Ave Ste 2C",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112386432",
"country_code": "US",
"telephone_number": "718-638-6278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HP MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A",
"authorized_official_last_name": "POLAVARAPU",
"authorized_official_first_name": "HARI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-335-0305",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "220917",
"primary": true
},
{
"code": "207RI0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical & Laboratory Immunology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02142478",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03520041",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "tru medical management",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.