SOMA N PULIPATI MD
NPI 1295737187
Internal Medicine - Cardiovascular Disease in Patchogue, NY

Q: What is Soma Pulipati's NPI number?

The NPI number for Soma Pulipati is 1295737187. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Soma Pulipati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Soma Pulipati was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment

475 E MAIN ST, STE 205, PATCHOGUE, NY 11772(631) 654-2386(631) 447-3852 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Soma N Pulipati Md NPPES

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

SOMA N PULIPATI MD (NPI 1295737187) is an individual cardiovascular disease provider in Patchogue, New York, licensed in New York (127012) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1295737187

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSOMA N PULIPATICredential: MD

Location Address475 E MAIN ST, STE 205Patchogue, NY 11772-3121

Mailing Address475 E Main St, Ste 205Patchogue, NY 11772-3121 · (631) 654-2386 · Fax (631) 447-3852

Phone(631) 654-2386

Fax(631) 447-3852

Sole ProprietorYes

Medical School CMSOtherGraduated 1972

Enumeration DateAugust 11, 2005

Last NPPES UpdateNovember 4, 2016

✔ NPI 1295737187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 127012

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

475 E MAIN ST, Patchogue, NY 11772

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soma N Pulipati Md 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 ID9638294903

PECOS Enrollment IDI20101006000383

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.

Medicare Billing Reassignments

Medicare enrollment records show Soma Pulipati reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular Surgery Associate Of Suffolk County, PLLC

1.4 mi

Vascular Surgery

33 MEDFORD AVE STE A
Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1477893113 (631) 569-5410

Brookhaven Memorial Hospital Medical Center, Inc.

1.4 mi

General Acute Care Hospital

33 MEDFORD AVENUE, SUITE D
Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
89 clinicians in this Medicare group

NPI 1508003716 (631) 687-4190

Chs Physician Partners, P.C

4.3 mi

Family Medicine

213 MONTAUK HWY
West Sayville, NY 11796

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Chs Physician Partners PC
944 clinicians in this Medicare group

NPI 1679823512 (631) 563-6205

New York University

1,059 mi

Cardiovascular Disease

3301 QUANTUM BLVD
Boynton Beach, FL 33426

Reassigned Medicare billing, New York enrollment
2,450 clinicians in this Medicare group

NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

658 services237 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

614 services227 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

433 services115 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

380 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

334 services79 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

331 services26 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

279 services144 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

144 services143 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

136 services132 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

120 services118 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

101 services27 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

62 services62 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

61 services61 patients

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297

This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.

59 services13 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

58 services39 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

51 services45 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

47 services26 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

44 services12 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

41 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

36 services30 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

27 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330141

Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County

Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

2%58 patients1/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

63%113 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%504 patients5/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

5%74 patients1/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%113 patients5/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

5%114 patients1/55-star benchmark: 88%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

81%821 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ROBERT BASEDOW

Social Worker

475 E MAIN ST
PATCHOGUE, NY 11772

Suffolk County (631) 286-8282

THERAPUTIC MEDICAL INFUSION PC

Anesthesiology (Pain Medicine)

475 E MAIN ST, SUITE 114
PATCHOGUE, NY 11772

Suffolk County (631) 475-7700

TERRY PONTINO NP

Nurse Practitioner (Acute Care)

475 E MAIN ST
EAST PATCHOGUE, NY 11772

Suffolk County (631) 475-7700

CAROLYN VELLA CASAC

Counselor (Addiction (Substance Use Disorder))

475 E MAIN ST
PATCHOGUE, NY 11772

Suffolk County (631) 569-7266

MRS. BONNIE F KOTKIN MA, LMHC

Counselor (Mental Health)

475 E MAIN ST, SUITE 200
PATCHOGUE, NY 11772

Suffolk County (516) 909-6850

DR. GINA MARIA CARDONE O.D.

Optometrist

475 E MAIN ST, 104
PATCHOGUE, NY 11772

Suffolk County (631) 654-2020

RASHA TAHA MOHAMED RIZK

Physical Therapist

475 E MAIN ST
PATCHOGUE, NY 11772

Suffolk County (631) 289-0044

WAYNE VICTOR HATAMI PT

Clinic/Center (Physical Therapy)

475 E MAIN ST, SUITE 103-105
PATCHOGUE, NY 11772

Suffolk County (631) 289-0044

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 Soma Pulipati's NPI number?

The NPI number for Soma Pulipati is 1295737187. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Soma Pulipati located?

Soma Pulipati practices at 475 E Main St Ste 205, Patchogue, NY 11772. The listed phone number is (631) 654-2386.

What is Soma Pulipati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Soma Pulipati enrolled in Medicare?

Yes. Soma Pulipati 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.

Which organizations bill Medicare for Soma Pulipati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soma Pulipati reassigns Medicare benefits to 4 organizations: Vascular Surgery Associate Of Suffolk County, PLLC (Patchogue, NY), Brookhaven Memorial Hospital Medical Center, Inc. (Patchogue, NY), Chs Physician Partners, P.C (West Sayville, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soma Pulipati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Soma Pulipati affiliated with any hospitals?

According to CMS data, Soma Pulipati is affiliated with Long Island Community Hospital and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Soma Pulipati was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.