TRU MEDICAL MANAGEMENT
NPI 1619944550
Internal Medicine in Brooklyn, NY

Active since February 28, 2006CLIA 33D1101898 · Waiver
774 BROADWAY STE 2B, BROOKLYN, NY 11206(347) 335-0305(718) 638-2043 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2022, May 19, 2021, Jan 6, 2021 (3 updates tracked since 2021).

About Tru Medical Management NPPES

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

TRU MEDICAL MANAGEMENT (NPI 1619944550) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through July 7, 2027, maintains 2 additional practice locations, and lists Hari K Polavarapu, President, as its authorized official.

NPPES Registry Identity

NPI1619944550
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHP MEDICAL PC
Location Address774 BROADWAY STE 2BBrooklyn, NY 11206-5316
Mailing Address333 Rector Pl Apt 504New York, NY 10280-1214 · (917) 454-8474 · Fax (718) 638-2043
Fax(718) 638-2043
Organization SubpartNo
Authorized OfficialHari K PolavarapuPresident · (347) 335-0305
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 14, 20223 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1619944550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 220917
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedClinic/Center · Radiology, MobileTaxonomy 261QR0208X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
774 BROADWAY STE 2B, Brooklyn, NY 11206

Other Names 1

Doing Business AsTru Medical Management

Secondary Practice Locations 2

Location 1496 Dekalb avebrooklyn, NY 11205-4808 · Phone (718) 638-6278
Location 255 Greene Ave Ste 2CBrooklyn, NY 11238-6432 · Phone (718) 638-6278

Other Identifiers 2

Medicaid02142478NY
Medicaid03520041NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tru Medical Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20100930067722DME · Physician - General PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Tru Medical Management, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1992304604
744 BROADWAY STE. 2B
Brooklyn, NY 11206
(347) 335-0305
✔ PECOS0.1 mi
Internal Medicine
NPI 1760551816
15 WILLIAM ST APT 16H
New York, NY 10005
(718) 638-6278
✔ PECOS✔ Accepts Medicare3.7 mi
Family Practice
NPI 1003310699
2015 GRAND CONCOURSE
Bronx, NY 10453
(718) 299-7295
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1407815152
263 FARMINGTON AVE
Farmington, CT 06030
(860) 679-3387
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1891377990
550 PEACHTREE ST NE
Atlanta, GA 30308
(404) 778-3401
✔ PECOS✔ Accepts Medicare747 mi
Nurse Practitioner
NPI 1558638916
100 COLORADO ST
Austin, TX 78701
(787) 737-7806
✔ PECOS1,516 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1101898

H P Medical PC · Brooklyn, NY
Active · expires Jul 7, 2027
CLIA Number33D1101898
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorHari K. Polavarapu
Laboratory Phone(718) 638-6278
Laboratory LocationH P Medical PC496 Dekalb Ave, Brooklyn, NY 11205
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hp Medical PC's NPI number?

The NPI number for Hp Medical PC is 1619944550. It was assigned to this organization in the NPPES registry on February 28, 2006. The provider is doing business as Tru Medical Management.

Where is Hp Medical PC located?

Hp Medical PC is located at 774 Broadway Ste 2B, Brooklyn, NY 11206. The listed phone number is (347) 335-0305.

What is Hp Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hp Medical PC enrolled in Medicare?

Yes. Hp Medical PC is registered in the Medicare PECOS enrollment system.

When is Hp Medical PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Physician - General Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hp Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Hp Medical PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hp Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1101898) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hp Medical PC was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.