Individual provider Active NPI

Robert Potorski, M.D.

  • Cardiovascular Disease Physician
  • Brandon, FL
National Provider Identifier
1063455756
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME114137 Issued in FL
Practice address
1159 Nikki View Dr
Brandon, FL 33511-4879
Phone
(813) 661-6199
Fax
(813) 661-6199
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME114137 FL Primary

Addresses

Primary practice location

1159 Nikki View Dr
Brandon, FL 33511-4879

Mailing address

1159 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 661-6199

Other identifiers 1

IdentifierTypeStateIssuer
ME114137OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616000770 FL Practitioner - Interventional Cardiology 4688567787 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University Central del Caribe Escuela de Medicina, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Cardiology Assoc. PAGroup PAC ID 4688637598, 20 clinicians

Practice addresses (Care Compare)

13029 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 684-6000

3920 Galen CT
Sun City Center, FL 33573-6817
Phone 8136846000228

635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone 8136846000228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114137FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Cardiology Assoc. PA CurrentSince Jan 6, 2026 Accepting new patients
MCR Health, Inc. Cardiovascular Disease CurrentSince Dec 28, 2022 Accepting new patients
South Shore Cardiovascular Associates Inc Cardiovascular Disease CurrentSince Jul 1, 2015 Accepting new patients
MCR Health, Inc. CurrentSince Dec 28, 2022 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince May 30, 2018 Accepting new patients
Wyoming Valley Heart Group Inc. Cardiovascular Disease Past Accepting new patients

Locations

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

300 Riverside Dr E
Ste 2010
Bradenton, FL 34208
Phone (941) 405-1170

1159 Nikki View Dr
Brandon, FL 33511
Phone (813) 661-6199

635 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 684-6000

425 S Kings Ave
Brandon, FL 33511
Phone (813) 661-6199

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

13029 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 684-6000

13029 Summerfield Square Dr
Ste 850
Riverview, FL 33578

3920 Galen Ct
Sun City Center, FL 33573
Phone (813) 684-6000

10740 Palm River Rd
Ste 370
Tampa, FL 33619
Phone (813) 684-6000

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61104

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1063455756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTORSKI",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME114137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME114137",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.