Individual provider Active NPI

Dimple Eapen-Pulipati, MD

  • Cardiovascular Disease Physician
  • Patchogue, NY
National Provider Identifier
1740455195
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
248202 Issued in NY
Practice address
475 E Main St
Suite 205
Patchogue, NY 11772-3121
Phone
(631) 654-2386
Fax
(631) 447-3852
NPI assigned
Apr 28, 2008
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 248202 NY Primary

Addresses

Primary practice location

475 E Main St
Suite 205
Patchogue, NY 11772-3121

Mailing address

475 E Main St
Suite 205
Patchogue, NY 11772-3121
Phone (631) 654-2386

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
I20101006000336 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183749450 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
Vascular Surgery Associate of Suffolk County, PLLCGroup PAC ID 2466777230, 3 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 N Village Ave
Rockville Center, NY 11570-1000

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

33 Medford Ave
Suite a
Patchogue, NY 11772-1222
Phone (631) 569-5410

55 Medford Ave
Unit E
Patchogue, NY 11772-1229
Phone (631) 689-6698

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248202NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Nov 6, 2022 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince Aug 17, 2022 Accepting new patients
New York University Cardiovascular Disease CurrentSince Nov 6, 2022 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Vascular Surgery Associate of Suffolk County, PLLC Cardiovascular Disease CurrentSince Dec 3, 2025 Accepting new patients
Brookhaven Neurology PLLC Past Accepting new patients
Aaa Vascular Care PLLC Past Accepting new patients

Locations

74 Southaven Ave
Ste E
Medford, NY 11763
Phone (516) 654-2386

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

33 Medford Ave
Patchogue, NY 11772
Phone (212) 255-2333

33 Medford Ave
Ste A
Patchogue, NY 11772
Phone (631) 569-5410

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

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

Interoperability endpoints

  • Direct secure messaging: deapenpulipati109722@direct-chsli.net
  • Direct secure messaging: dimple.eapen@brookcardiac.ehi.direct-ci.com
  • Direct secure messaging: dpulipati504639@nyumc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1740455195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 205",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-654-2386",
            "fax_number": "631-447-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 205",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-654-2386",
            "fax_number": "631-447-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAPEN-PULIPATI",
        "first_name": "DIMPLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "248202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.