Active NPI
Robert Potorski, M.D.
- Cardiovascular Disease Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME114137
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME114137 | Other | FL | MEDICAL 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME114137 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Cardiology Assoc. PA | Current | Accepting new patients | |
| MCR Health, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| South Shore Cardiovascular Associates Inc | Cardiovascular Disease | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| West Florida Cardiovascular Co-Management Associates, LLC | Cardiovascular Disease | Current | 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
- 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.
-
- Specialist
- Brandon, FL
- NPI 1336184746
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Cardiovascular Disease Physician
- Brandon, FL
- NPI 1912175290
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1245776004
-
- Cardiovascular Disease Physician
- Pittston, PA
- NPI 1508833880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.