NPIMap

Individual provider Active NPI

Nageswarrao Pothula, MD

  • Emergency Medicine Physician
  • Flint, MI
National Provider Identifier
1023246774
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q1478 Issued in TX
Practice address
G3200 Beecher Rd
Suite 2
Flint, MI 48532-3651
Phone
(810) 342-5800
Fax
(810) 342-5810
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301093749 MI
Emergency Medicine Physician 207P00000X Q1478 TX Primary

Addresses

Primary practice location

G3200 Beecher Rd
Suite 2
Flint, MI 48532-3651

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605001890 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 5294974473 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Emergency Physicians PAGroup PAC ID 1153414503, 79 clinicians
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (865) 560-8423

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

  • Pacific Hospice and Palliative Care, LLC Hospice, San Antonio, TX, CCN A91539
  • Paloma Hospice and Palliative Care Hospice, San Antonio, TX, CCN 671695
  • Harbor Hospice of North San Antonio LP Hospice, San Antonio, TX, CCN 741555
  • Heart to Heart Hospice of San Antonio, LLC Hospice, San Antonio, TX, CCN 671533
  • Harbor Hospice of Central San Antonio LP Hospice, San Antonio, TX, CCN A91681
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Methodist Hospital Northeast Inpatient rehabilitation facility, Live Oak, TX, CCN 45T388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q1478TXMDEmergency Medicine Physician
4301093749MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Dec 15, 2024 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Inpatient Progressive Health of America, PLLC CurrentSince Apr 7, 2022 Accepting new patients
Progressive Surgical Associates PLLC Internal Medicine PastSince May 28, 2023 Accepting new patients
Hendrick Medical Center Brownwood Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Emergency Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

16620 San Pedro Ave
San Antonio, TX 78232
Phone (210) 309-1405

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: npothula14506@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Paloma Hospice and Palliative CareSan Antonio, TX, CCN 671695 Hospice Contracted Managing Employee Jul 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1023246774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-2000",
            "fax_number": "810-342-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3200 BEECHER RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323651",
            "telephone_number": "810-342-5800",
            "fax_number": "810-342-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHULA",
        "first_name": "NAGESWARRAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301093749",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.