Individual provider Active NPI

Amarnath Narayanappa Polepalle, DO

  • Emergency Medicine Physician
  • Middletown, NY
National Provider Identifier
1952836124
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
303281 Issued in NY
Practice address
707 E Main St
Middletown, NY 10940-2650
Phone
(845) 333-6333
Fax
(845) 333-7342
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 064930 CT
Emergency Medicine Physician 207P00000X 303281 NY Primary

Addresses

Primary practice location

707 E Main St
Middletown, NY 10940-2650

Mailing address

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-6333

Other practice location 1

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200828000504 NY Practitioner - Emergency Medicine 3678990124 Reassigns benefits to 3 organizations
I20200925000812 CT Practitioner - Emergency Medicine 3678990124 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Emergency Medicine Specialists LLCGroup PAC ID 8729157797, 34 clinicians
Nems PLLCGroup PAC ID 2466792833, 37 clinicians
New Jersey Medical Services Group LLCGroup PAC ID 4486878626, 27 clinicians

Practice addresses (Care Compare)

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (830) 423-6410

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

6860 Austin St
Suite 400
Forest Hills, NY 11375-4245
Phone (866) 607-2308

Hospital & facility affiliations

  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
84.92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
70.34
Promoting interoperability
100
Improvement activities
40
Cost
75.39

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
84.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
064930CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical Services Group, LLC CurrentSince Feb 3, 2025 Accepting new patients
Usacs of Connecticut, LLC Emergency Medicine CurrentSince May 13, 2023 Accepting new patients
Orange Emergency Services PC Emergency Medicine CurrentSince Jun 2, 2020 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Sep 1, 2020 Accepting new patients
Northeast Emergency Medicine Specialists, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
The Charlotte Hungerford Hospital Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Nems PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Sullivan Emergency Services PC Emergency Medicine CurrentSince Jul 31, 2020 Accepting new patients
MVC PA PLLC Past Accepting new patients

Locations (25 of 28)

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

2747 Crescent St
Ste 107
Astoria, NY 11102
Phone (718) 728-3200

34 Marconi St
Bronx, NY 10461
Phone (718) 518-0060

522 Courtlandt Ave
Fl 2
Bronx, NY 10451
Phone (718) 312-6476

34 Marconi St
Ste 260
Bronx, NY 10461
Phone (668) 607-2308

150 Meserole St
Fl Second
Brooklyn, NY 11206

1636 E 14th St
Ste 104
Brooklyn, NY 11229

408 Jay St
Ste 400
Brooklyn, NY 11201

150 Meserole St
Fl 2
Brooklyn, NY 11206
Phone (866) 907-2308

51 Atlantic Ave
Fl 100
Floral Park, NY 11001
Phone (914) 426-7423

6860 Austin St
Ste 400
Forest Hills, NY 11375
Phone (718) 730-9034

115 Broadhollow Rd
Ste 320
Melville, NY 11747

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

111 E 57th St
Rm 202
New York, NY 10022
Phone (646) 921-6266

100 Crosby St
Rm 406
New York, NY 10012
Phone (212) 822-3515

1500 Route 112
Bldg 10
Port Jefferson Station, NY 11776
Phone (631) 476-7300

3010 Westchester Ave
Ste 401
Purchase, NY 10577
Phone (914) 251-1261

Interoperability endpoints

  • Direct secure messaging: apolepalle799857@direct.emplifyhealth.org
  • Direct secure messaging: amarnath.polepalle@xdr.hhchealthdirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1952836124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-333-6333",
            "fax_number": "845-333-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-333-6333",
            "fax_number": "845-333-7342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Litchfield St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "860-496-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLEPALLE",
        "first_name": "AMARNATH",
        "middle_name": "NARAYANAPPA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "064930",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "303281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.