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PINA R PATEL- PULIPATI MD
NPI 1760653117
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Patchogue, NY

Active since March 13, 2008PECOS EnrolledAccepts Medicare Assignment
475 E MAIN ST, SUITE 207, PATCHOGUE, NY 11772(631) 654-2386(631) 447-3852 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pina R Patel- Pulipati Md NPPES

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

PINA R PATEL- PULIPATI MD (NPI 1760653117) is an individual neurology with special qualifications in child neurology provider in Patchogue, New York, licensed in New York (266254) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1760653117
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NamePINA R PATEL- PULIPATICredential: MD
Location Address475 E MAIN ST, SUITE 207Patchogue, NY 11772-3121
Mailing Address475 E Main St, Suite 207Patchogue, NY 11772-3121 · (631) 654-2386 · Fax (631) 447-3852
Phone(631) 654-2386
Fax(631) 447-3852
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 13, 2008
Last NPPES UpdateNovember 14, 2016
✔ NPI 1760653117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NY · 266254
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
475 E MAIN ST, Patchogue, NY 11772
Open in Google Maps ↗

Other Names 1

Former Name (1)Pina R Patel M.d.

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

Pina R Patel- 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 ID1355575861
PECOS Enrollment IDI20131015001888
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.

Areas of Expertise CMS Part B claims 9

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.
178 services75 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
52 services27 patients
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
36 services19 patients
Measurement of brain wave activity (eeg), 61-119 minutes 95813
The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.
33 services31 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.
32 services32 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

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
$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.

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

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.
86%120 patients3/55-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%270 patients5/55-star benchmark: 100%
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…
99%120 patients5/55-star benchmark: 97%
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…
58%438 patients3/55-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 Pina Patel- Pulipati's NPI number?

The NPI number for Pina Patel- Pulipati is 1760653117. It was assigned to this individual provider in the NPPES registry on March 13, 2008. The provider is also known as Pina R Patel M.D..

Where is Pina Patel- Pulipati located?

Pina Patel- Pulipati practices at 475 E Main St Suite 207, Patchogue, NY 11772. The listed phone number is (631) 654-2386.

What is Pina Patel- Pulipati's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Pina Patel- Pulipati enrolled in Medicare?

Yes. Pina Patel- 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.

Is Pina Patel- Pulipati affiliated with any hospitals?

According to CMS data, Pina Patel- Pulipati is affiliated with St Charles Hospital and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Pina Patel- Pulipati was last updated on November 14, 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.