Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandeep Mallipattu

Individual provider Nephrology Physician · NPI 1619139094

Sandeep Mallipattu is an Internal Medicine in East Setauket, New York. Graduated from Boston University School of Medicine in 2007, 19 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
Boston University School of Medicine
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

26 Research Way Stony Brook Internists Ufpc
East Setauket, NY 11733
Phone: (631) 444-0580
Fax: (631) 444-0562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 250660 (NY)

Record details

NPI number1619139094
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2008
Last updated in NPPESJuly 31, 2013
Mailing addressPo Box 1554, Stony Brook, Stony Brook, NY 11790-0988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Setauket