Vishnu Choudhary Potini, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Newark, NJ
NPI 1013207208 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1013207208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 078464 (GA)
- Practice address
- 90 Bergen St
Doc Suite 7300
Newark, NJ 07103-2425 - Phone
- (973) 972-2150
- NPI assigned
- Apr 9, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA, PA, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171211002425 | GA | Practitioner - Orthopedic Surgery | 9032409644 | Reassigns benefits to 1 organization |
| I20211111001959 | PA | Practitioner - Orthopedic Surgery |
9032409644 | Reassigns benefits to 1 organization |
| I20230315001185 | WI | Practitioner - Orthopedic Surgery | 9032409644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Physician Practices LLC | Current |
Accepting new patients | |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| St. Francis Physician Practices LLC | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Agnesian Healthcare Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| St Francis Physician Practices LLC | Current |
Accepting new patients |
Locations
2300 Manchester Expy
Ste A101A
Columbus, GA 31904
Phone (706) 320-3128
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
18 Deatrick Dr
Gettysburg, PA 17325
Phone (717) 339-2500
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
421 Camelot Dr
Fond du Lac, WI 54935
Phone (920) 923-7940
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
Interoperability endpoints
- vpotini445801@direct.hfhs.org
- vpotini291319@wellspan.direct-ci.com
- vpotini444472@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2749-320 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | 078464 | GA | Yes |
Addresses
Primary practice location
90 Bergen St
Doc Suite 7300
Newark, NJ 07103-2425
Mailing address
2300 Manchester Expy
Ste 101a
Columbus, GA 31904-6802
Phone (706) 320-3128
Other practice location 1
430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 929-2300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vpotini444472@direct-ehr-ssmhc.com | Direct | AGNESIAN HEALTHCARE INC |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | AGNESIAN HEALTHCARE INC |
Other providers in Newark, NJ
- Quadeer Lamar Porter
- Gabriela Maria Portilla-Maldonado
- Positive Health Care, Inc.
- Positive Pairing Health Management LLC
- Marcelino M. Potian
- Jonae Nicole Potter-Gill
- Roman Povolotskiy
- Adwoa Powell
- Equasha Santersa Powell
- Power House Psychotherapy & Addiction, LLC
All providers in Newark, NJ · Orthopaedic Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.