Active NPI
Jeremy Polman, DO
- Gastroenterology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 322389
- Practice address
- 178 E 85TH St FL 4
New York, NY 10028-2119 - Phone
- (212) 434-3427
- NPI assigned
- Mar 20, 2019
- Last updated
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T6677 | TX | |
| Gastroenterology Physician | 207RG0100X | 322389 | NY | Primary |
Addresses
Primary practice location
178 E 85TH St FL 4
New York, NY 10028-2119
Mailing address
178 E 85TH St FL 4
New York, NY 10028-2119
Phone (212) 434-3427
Other practice location 1
3401 North Blvd Ste 130
Baton Rouge, LA 70806-3743
Phone (225) 387-7900
Other practice location 2
2111 Kramer Ln Ste 100
Austin, TX 78758-4032
Phone (512) 566-4233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322389 | NY | MD | Licensed Practical Nurse |
| T6677 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Dose Management PA | Internal Medicine | Current | Accepting new patients |
| Lonestar Pat Associates PA | Internal Medicine | Current | Accepting new patients |
Locations
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
1401 Lavaca St
Austin, TX 78701
Phone (512) 222-7411
2111 Kramer Ln
Ste 100
Austin, TX 78758
Phone (512) 508-8320
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
Interoperability endpoints
- jeremy.polman.1@25634.direct.athenahealth.com
- jpolman25989@northwell.direct-ci.com
Organizations & group practices 3
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.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1659831360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 E 85TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282119",
"telephone_number": "212-434-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 E 85TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282119",
"telephone_number": "212-434-3427"
}
],
"practiceLocations": [
{
"address_1": "3401 North Blvd Ste 130",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708063743",
"country_code": "US",
"telephone_number": "225-387-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2111 Kramer Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787584032",
"country_code": "US",
"telephone_number": "512-566-4233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLMAN",
"first_name": "JEREMY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T6677",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "322389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.