Individual provider Active NPI

Tarulata Khulpateea, M.D.

  • Gynecology Physician
  • Bethpage, NY
National Provider Identifier
1760574586
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
131615 Issued in NY
Practice address
4212 Hempstead Tpke
Bethpage, NY 11714-5723
Phone
(516) 513-1184
Fax
(516) 513-1187
NPI assigned
Sep 29, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 131615 NY Primary

Addresses

Primary practice location

4212 Hempstead Tpke
Bethpage, NY 11714-5723

Mailing address

73 Parkview PL
Malverne, NY 11565-1147
Phone (516) 599-6142

Other identifiers 2

IdentifierTypeStateIssuer
84A841OtherNYBLUE CROSS
AP177OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131615NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athanasios Antoniadis OB GYN PC PastSince Mar 15, 2005 Accepting new patients
Southwest Suffolk Medical PC Past Accepting new patients
Michael Terrani, M.D., P.C. Past Accepting new patients

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1760574586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PARKVIEW PL",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651147",
            "telephone_number": "516-599-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145723",
            "telephone_number": "516-513-1184",
            "fax_number": "516-513-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHULPATEEA",
        "first_name": "TARULATA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "131615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "84A841",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AP177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.