Active NPI
Danielle Kuulei Potter Stovaw, M.D.
- Obstetrics & Gynecology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 45130
- Practice address
- 500 W Thomas Rd Ste 720&730
Phoenix, AZ 85013-4224 - Phone
- (602) 406-3715
- Fax
- (602) 406-4011
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 16882 | HI | |
| Obstetrics & Gynecology Physician | 207V00000X | 45130 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd Ste 720&730
Phoenix, AZ 85013-4224
Mailing address
PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786
Other practice location 1
20940 N Tatum Blvd Ste 100
Phoenix, AZ 85050-7259
Phone (480) 502-4000
Other names 1
- Dr. Danielle Kuulei Potter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Creighton University School of Dentistry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400
82 Puuhonu PL
Suite 205
Hilo, HI 96720-2010
Phone (808) 961-6608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45130 | AZ | MD | Obstetrics & Gynecology Physician |
| 16882 | HI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kapiolani Medical Specialists | Current | Accepting new patients | |
| Ali'I Health Center | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Family Medicine | Current | Accepting new patients |
| Alii Health Center | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Kona Hospital | Past | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients | |
| Livi Medical Services LLC | Family Medicine | Past | Accepting new patients |
Locations
82 Puuhonu Pl
Ste 205
Hilo, HI 96720
Phone (808) 691-6608
55 Merchant St
Fl 22
Honolulu, HI 96813
Phone (808) 535-7600
1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300
78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725
78-6831 Alii Dr
Ste 411
Kailua Kona, HI 96740
Phone (808) 636-6393
78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
Networks
- HI PPO
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1124071014
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
Family Medicine
-
- Multi-Specialty Clinic/Center
- Kailua Kona, HI
- NPI 1285107698
-
- Ambulatory Surgical Clinic/Center
- Kailua Kona, HI
- NPI 1144949967
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1457667750
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- General Acute Care Hospital
- Kealakekua, HI
- NPI 1952332991
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1043448442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33269",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850673269",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 720&730",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-406-3715",
"fax_number": "602-406-4011"
}
],
"practiceLocations": [
{
"address_1": "20940 N Tatum Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850507259",
"country_code": "US",
"telephone_number": "480-502-4000",
"fax_number": "480-502-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOVAW",
"first_name": "DANIELLE",
"middle_name": "KUULEI POTTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2024-10-29",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "HI",
"license": "16882",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "45130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "POTTER",
"middle_name": "KUULEI",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.