Individual provider Active NPI

Purnima Popli, M.D.

  • Internal Medicine Physician
  • Mineola, NY
National Provider Identifier
1871585612
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230771 Issued in NY
Practice address
173 Mineola Blvd
Mineola, NY 11501-2528
Phone
(516) 564-4682
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 230771 NY Primary

Addresses

Primary practice location

173 Mineola Blvd
Mineola, NY 11501-2528

Mailing address

173 Mineola Blvd
Mineola, NY 11501-2528

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppopli222131@nyumc.direct-ci.com

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
I20040803001681 NY Practitioner - Internal Medicine 1254302268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 N Portland Ave
Brooklyn, NY 11205-2005
Phone (718) 616-3885

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
New York University Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Dec 28, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Dec 28, 2022 Accepting new patients
Medical Group of Mineola, PC Past Accepting new patients
Winthrop Community Medical Affiliates PC Internal Medicine Past Accepting new patients

Locations

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

1399 Franklin Ave
Ste 103
Garden City, NY 11530
Phone (516) 481-8877

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

173 Mineola Blvd
Mineola, NY 11501
Phone (516) 741-4004

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

875 Old Country Rd
Ste 102
Plainview, NY 11803
Phone (516) 605-2900

Networks

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1871585612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012528",
            "telephone_number": "516-564-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLI",
        "first_name": "PURNIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppopli222131@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "173 Mineola Blvd",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115012528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.