Individual provider Active NPI

Hari Polavarapu, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1760551816
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220917 Issued in NY
Practice address
15 William St
Apt 16H
New York, NY 10005-2938
Phone
(718) 638-6278
Fax
(718) 638-2043
NPI assigned
Nov 6, 2006
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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 220917 NY Primary

Addresses

Primary practice location

15 William St
Apt 16H
New York, NY 10005-2938

Mailing address

15 William St
Apt 16H
New York, NY 10005-2938
Phone (718) 638-6278

Other practice location 1

774 Broadway Ste 2B
Brooklyn, NY 11206-5316
Phone (347) 335-0305

Other practice location 2

424 Lafayette Ave Fl 1
Brooklyn, NY 11238-1694
Phone (718) 638-6278

Other practice location 3

55 Greene Ave Ste 2C
Brooklyn, NY 11238-6432
Phone (718) 638-6278

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
I20040802000299 NY Practitioner - Internal Medicine 0941271373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H.P Medical P.CGroup PAC ID 2961442546, 2 clinicians

Practice addresses (Care Compare)

496 Dekalb Ave
Brooklyn, NY 11205-4808
Phone (718) 638-6278

55 Greene Ave
Suite 2C
Brooklyn, NY 11238-6432
Phone (347) 335-0333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220917NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HP Medical PC CurrentSince Jan 1, 2005 Accepting new patients
HP Medical PC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Professional PT OT Services P.L.L.C. PastSince Jan 1, 2020 Accepting new patients

Locations

55 Greene Ave
Ste 2C
Brooklyn, NY 11238
Phone (347) 335-0333

76 Manhattan Ave
#1
Brooklyn, NY 11206
Phone (347) 335-0305

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hap9021@direct.nyp.org
  • Direct secure messaging: hari.polavarapu@hmpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAEHAA

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1760551816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WILLIAM ST",
            "address_2": "APT 16H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052938",
            "telephone_number": "718-638-6278",
            "fax_number": "718-638-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WILLIAM ST",
            "address_2": "APT 16H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052938",
            "telephone_number": "718-638-6278",
            "fax_number": "718-638-2043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 Broadway Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112065316",
            "country_code": "US",
            "telephone_number": "347-335-0305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Lafayette Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112381694",
            "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": {
        "last_name": "POLAVARAPU",
        "first_name": "HARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.