Individual provider Active NPI

Krishna Kanth Potluri, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1053713115
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD55461 Issued in IA
Practice address
1901 1St Ave # 2A31
New York, NY 10029-7404
Phone
(212) 423-6684
NPI assigned
Sep 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 50552 KY
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 289667 NY
Emergency Medicine Physician 207P00000X MD17431 RI
Emergency Medicine Physician 207P00000X MD55461 IA Primary

Addresses

Primary practice location

1901 1St Ave # 2A31
New York, NY 10029-7404

Mailing address

1901 1St Ave # 2A31
New York, NY 10029-7404

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kpotluri163727@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address kpotluri163727@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address kpotluri163727@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KY, TN, WA, WV, CA, SC, IA8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20170804003303 NY Practitioner - Emergency Medicine 7517238751 Reassigns benefits to 2 organizations
I20170919003201 KY Practitioner - Emergency Medicine 7517238751 Reassigns benefits to 1 organization
I20190306001272 TN Practitioner - Emergency Medicine 7517238751 Reassigns benefits to 1 organization
I20200210001742 WA Practitioner - Emergency Medicine 7517238751 Reassigns benefits to 1 organization
I20200813000549 WV Practitioner - Emergency Medicine 7517238751 Reassigns benefits to 2 organizations
I20220118001400 CA Practitioner - Emergency Medicine 7517238751
I20250806004026 SC Practitioner - Emergency Medicine 7517238751 Reassigns benefits to 1 organization
I20250821002793 IA Practitioner - Emergency Medicine 7517238751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Iowa LLCGroup PAC ID 1557600756, 10 clinicians

Practice addresses (Care Compare)

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300

Hospital & facility affiliations

  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Ottumwa Regional Health Center Hospital, Ottumwa, IA, CCN 160089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD55461IAMDEmergency Medicine Physician
50552KYMDEmergency Medicine Physician
289667NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Emergency Services of Iowa LLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Greenbrier Emergency Services, Inc. Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Emergency Care Services of Connecticut, P.C. Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Emergency Physicians of Connecticut PC Single Specialty CurrentSince Jun 10, 2019 Accepting new patients
Fpa Hospital Based Single Specialty Current Accepting new patients
Northwest Emergency Physicians LLC Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Health Care Alliance, Inc. Single Specialty CurrentSince Feb 3, 2023 Accepting new patients
Emergency Physician Services of New York, P.C. Single Specialty CurrentSince Jan 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Single Specialty CurrentSince Sep 1, 2017 Accepting new patients
Acs Primary Care Physicians - Southeast PC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

107 McLeod Health Blvd
Myrtle Beach, SC 29579
Phone (843) 646-8001

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

5150 Airline Rd
Arlington, TN 38002
Phone (865) 985-7047

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: kpotluri23767@mvhealthsystem.direct-ci.com

Organizations & group practices 12

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 4

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": "1411171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1053713115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE # 2A31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE # 2A31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLURI",
        "first_name": "KRISHNA",
        "middle_name": "KANTH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-20",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "50552",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "289667",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD17431",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD55461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpotluri163727@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Garfield Ave",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpotluri163727@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Garfield Ave",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpotluri163727@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Garfield Ave",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.