SAPAN K POLEPALLE MD
NPI 1912954009
Urology in Bronx, NY
About Sapan K Polepalle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAPAN K POLEPALLE MD (NPI 1912954009) is an individual urology provider in Bronx, New York, licensed in New York (239371) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of Northwestern University Feinberg Medical School (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Sapan K Polepalle 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sapan Polepalle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartsdale, NY 10530
- Reassigned Medicare billing, New York enrollment
- 67 clinicians in this Medicare group
Saranac Lake, NY 12983
- Reassigned Medicare billing, New York enrollment
- 76 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adirondack Medical Center - Saranac Lake
Acute Care Hospitals · Saranac Lake, NYCanton-Potsdam Hospital
Acute Care Hospitals · Potsdam, NYChamplain Valley Physicians Hospital Medical Ctr
Acute Care Hospitals · Plattsburgh, NYSt Barnabas Hospital
Acute Care Hospitals · Bronx, NYThe University Of Vermont Health Network-Alice Hy
Critical Access Hospitals · Malone, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10458
BRONX, NY 10458
BRONX, NY 10458
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 Sapan Polepalle's NPI number?
The NPI number for Sapan Polepalle is 1912954009. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Sapan Polepalle located?
Sapan Polepalle practices at 2940 Grand Concourse Suite 1A, Bronx, NY 10458. The listed phone number is (718) 684-2516.
What is Sapan Polepalle's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Sapan Polepalle enrolled in Medicare?
Yes. Sapan Polepalle 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 Sapan Polepalle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sapan Polepalle reassigns Medicare benefits to 2 organizations: Hudson Valley Lithotripsy Associates, P.C. (Hartsdale, NY) and Adirondack Medical Center (Saranac Lake, NY). 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 Sapan Polepalle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sapan Polepalle affiliated with any hospitals?
According to CMS data, Sapan Polepalle is affiliated with Adirondack Medical Center - Saranac Lake, Canton-Potsdam Hospital, Champlain Valley Physicians Hospital Medical Ctr, St Barnabas Hospital and The University Of Vermont Health Network-Alice Hy.
When was this NPI record last updated?
The NPPES record for Sapan Polepalle was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sapan K Polepalle, MD · NPI 1912954009
Urology physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1912954009 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 239371 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2940 GRAND CONCOURSE, SUITE 1A, Bronx, NY 10458-2611
- **Phone:** (718) 684-2516 · **Fax:** (718) 684-2518
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hudson Valley Lithotripsy Associates, P.C. (NPI 1437242781, Hartsdale, NY); Adirondack Medical Center (NPI 1871359000, Saranac Lake, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern University Feinberg Medical School, class of 1998
## Record status
- **NPPES last updated:** March 30, 2012
- **Other identifiers:** Medicare UPIN I09729 (NY); Medicare ID-Type Unspecified 4S4911 (NY); Medicaid 02753693 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1912954009) · Data from the CMS NPPES public registry.