MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1548558133

MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) is a healthcare provider. based in Johns creek, Georgia. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 307576 (NY). The NPI Number for MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) is 1548558133

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.)
NPI
1548558133
Phone
(725) 209-3053
Address
10680 MEDLOCK BRIDGE RD STE 101
Enumeration Date
15 July 2011
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7252093053
Graduation Year
2011 (15 years ago)
PAC ID
2668788308
Group Practice PAC ID
2860816725
Professional Enrollment ID
I20210202001273
Address ID
NY100166711NE136XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
sjoseph71974@direct.garnethealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness95
Years active:14State licenses:2Other names

1,308 PHYSICAL MEDICINE AND REHABILITATION in NY

Provider Addresses for MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.)

  • 10680 MEDLOCK BRIDGE RD STE 101

    JOHNS CREEK, GA 300978420

    Phone: (725) 209-3053

    Fax: (855) 927-7788

    Type: Mailing

  • 707 E MAIN ST

    MIDDLETOWN, NY 109402650

    Phone: (845) 333-7575

    Type: Location

  • 6010 HIDDEN VALLEY RD STE 200

    CARLSBAD, CA 920114219

    Phone: (760) 631-3000

    Fax: (760) 631-3016

    Type: Mailing

  • 925 N La Brea Ave Ste 400

    West Hollywood, CA 900382458

    Phone: (725) 209-3053

    Fax: (855) 927-7788

    Type: Location

  • 136 Madison Ave

    5th and 6th FL

    New York, NY 100166711

    Phone: (725) 209-3053

    Fax: (855) 927-7788

    Type: Location

  • 5809 W Modoc Ave

    Visalia, CA 932918527

    Phone: (725) 209-3053

    Fax: (855) 927-7788

    Type: Location

  • 5852 Corral Way

    LA Jolla, CA 920377423

    Phone: (725) 209-3053

    Fax: (855) 927-7788

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150826001412IPhysical Medicine And RehabilitationCATBD
I20210202001273IPhysical Medicine And RehabilitationNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9045$0
View full utilization report →

Insurance plans in this area (ZIP 30097)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860816725View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeGA
Nurse PractitionerAZ
Occupational Therapist In Private PracticeFL
Physician AssistantCA
N E U R O L O G YNV
Nurse PractitionerNV
Occupational Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What identifier follows MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) across health systems?
The NPI 1548558133 uniquely identifies MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) in U.S. healthcare data.
Is MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) as active.
How should patients interpret MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.)'s specialty?
The extract shows Student in an Organized Health Care Education/Training Program for MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.). Clinical services aligned with this taxonomy classification.
Is MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) tied to Johns Creek, Georgia?
If you are local to Johns Creek, Georgia, MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.) may be relevant to your search.
Who maintains MISS STEPHANIE PULIKKOTTIL JOSEPH (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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