DIMPLE PUTHETHUKUDI GEORGE N P
NPI 1194100537
Nurse Practitioner - Adult Health in Patchogue, NY

Active since July 28, 2015PECOS EnrolledAccepts Medicare Assignment
101 HOSPITAL ROAD, BROOK HAVEN HOSPITAL MEDICAL CENTER, PATCHOGUE, NY 11772(631) 654-7214 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dimple Puthethukudi George N P NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIMPLE PUTHETHUKUDI GEORGE N P (NPI 1194100537) is an individual adult health provider in Patchogue, New York, licensed in New York (F307244) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194100537
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDIMPLE PUTHETHUKUDI GEORGECredential: N P
Location Address101 HOSPITAL ROAD, BROOK HAVEN HOSPITAL MEDICAL CENTERPatchogue, NY 11772
Mailing Address70 Dare RdSelden, NY 11784-2004 · (631) 428-1645
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 28, 2015
NPI 1194100537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F307244
101 HOSPITAL ROAD, Patchogue, NY 11772

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dimple Puthethukudi George N P is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749571685
PECOS Enrollment IDI20240920001367
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Radiology (Diagnostic Radiology)
101 HOSPITAL ROAD
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Family Medicine
101 HOSPITAL ROAD
PATCHOGUE, NY 11772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dimple Puthethukudi George's NPI number?

The NPI number for Dimple Puthethukudi George is 1194100537. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Dimple Puthethukudi George located?

Dimple Puthethukudi George practices at 101 Hospital Road Brook Haven Hospital Medical Center, Patchogue, NY 11772. The listed phone number is (631) 654-7214.

What is Dimple Puthethukudi George's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dimple Puthethukudi George enrolled in Medicare?

Yes. Dimple Puthethukudi George is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dimple Puthethukudi George was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.