Active NPI
Krishna Kanth Potluri, M.D.
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD55461
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 50552 | KY | |
| Emergency Medicine Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
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
Practice addresses (Care Compare)
1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300
Hospital & facility affiliations
- Logan Regional Medical Center
- Raleigh General Hospital
- Ottumwa Regional Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD55461 | IA | MD | Emergency Medicine Physician |
| 50552 | KY | MD | Emergency Medicine Physician |
| 289667 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Single Specialty | Current | Accepting new patients |
| Fpa Hospital Based | Single Specialty | Current | Accepting new patients |
| Emergency Services of Iowa LLC | Single Specialty | Current | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Single Specialty | Current | Accepting new patients |
| Emergency Care Services of Connecticut, P.C. | Single Specialty | Current | Accepting new patients |
| Emergency Physicians of Connecticut PC | Single Specialty | Current | Accepting new patients |
| Fpa Hospital Based | Single Specialty | Current | Accepting new patients |
| Northwest Emergency Physicians LLC | Single Specialty | Current | Accepting new patients |
| Health Care Alliance, Inc. | Single Specialty | Current | Accepting new patients |
| Emergency Physician Services of New York, P.C. | Single Specialty | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Single Specialty | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Single Specialty | Current | 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
- 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.
-
- Emergency Medicine Physician
- Ottumwa, IA
- NPI 1477017663
Single Specialty
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
Single Specialty
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
Single Specialty
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Single Specialty
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
Single Specialty
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Single Specialty, TN
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
Single Specialty
-
- Emergency Medicine Physician
- Manchester, CT
- NPI 1518519461
Single Specialty
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1902278906
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Logan, WV
- NPI 1295789675
-
- General Acute Care Hospital
- Logan, WV
- NPI 1750332565
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1629015698
-
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.