Active NPI
Louis Potters, MD
- Radiation Oncology Physician
- Oceanside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 166604
- Practice address
- 2445 Oceanside Rd
Oceanside, NY 11572-1548 - Phone
- (516) 632-3380
- NPI assigned
- Jul 29, 2005
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 166604 | NY | Primary |
Addresses
Primary practice location
2445 Oceanside Rd
Oceanside, NY 11572-1548
Mailing address
1020A E Boal Ave
Boalsburg, PA 16827-1509
Phone (814) 237-8627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01438531 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Rutgers New Jersey Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
111 E 77TH St
New York, NY 10075-1850
Phone (212) 434-3966
1111 Marcus Ave
New Hyde Park, NY 11042-1034
130 E 77TH St
New York, NY 10075-1851
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 269-1914
777 N Broadway
Sleepy Hollow, NY 10591-1019
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166604 | NY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Radiation Specialists of New York | Radiation Oncology | Past | Accepting new patients |
| Memorial Sloan-Kettering Cancer Center at St Francis Mercy | Radiation Oncology | Past | Accepting new patients |
| South Shore Radiation Oncology Associates P C | Radiation Oncology | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
300 Community Dr
Manhasset, NY 11030
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
27005 76th Ave
North New Hyde Pk, NY 11040
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
391 N Country Rd
Smithtown, NY 11787
Phone (631) 361-2020
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- louispotters@mai.allscriptsdirect.net
- lpotters49183@northwell.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Medical Oncology Physician
- Rockville Centre, NY
- NPI 1679544134
Radiation Oncology
-
- Radiation Oncology Physician
- Bay Shore, NY
- NPI 1548210610
-
- Radiation Oncology Physician
- Oceanside, NY
- NPI 1801896998
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
dba Phelps Hospital
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083614184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020A E BOAL AVE",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271509",
"telephone_number": "814-237-8627",
"fax_number": "814-238-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 OCEANSIDE RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721548",
"telephone_number": "516-632-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTERS",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "166604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01438531",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.