Individual provider Active NPI

Chad E Potteiger, DO

  • Gastroenterology Physician
  • Newburgh, IN
National Provider Identifier
1346205358
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
02005826A Issued in IN
Practice address
3800 Venetian Way
Ste 200
Newburgh, IN 47630-8257
Phone
(812) 469-3283
Fax
(812) 469-3285
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DR0062881 CO
Gastroenterology Physician 207RG0100X 02005826A IN Primary
Gastroenterology Physician 207RG0100X DO1674 TN

Addresses

Primary practice location

3800 Venetian Way
Ste 200
Newburgh, IN 47630-8257

Mailing address

3800 Venetian Way
Newburgh, IN 47630-8257
Phone (812) 477-6103

Other identifiers 1

IdentifierTypeStateIssuer
3319213MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191018000708 IN Practitioner - Gastroenterology 2668462110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Care of Evansville PCGroup PAC ID 8022119858, 27 clinicians

Practice addresses (Care Compare)

3800 Venetian Way
Newburgh, IN 47630-8257
Phone (812) 477-6103

Hospital & facility affiliations

  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy199
Upper gastrointestinal (GI) endoscopy for acid reflux288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1674TNMDGastroenterology Physician
1674TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care of Evansville PC Gastroenterology CurrentSince Nov 1, 2019 Accepting new patients
Digestive Care of Evansville, PC CurrentSince Nov 1, 2019 Accepting new patients

Locations

801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103

647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103

647 2nd St
Ste B
Jasper, IN 47546
Phone (812) 477-6103

3800 Venetian Way
Ste 200
Newburgh, IN 47630
Phone (812) 477-6103

3800 Venetian Way
Newburgh, IN 47630
Phone (812) 477-6103

Organizations & group practices 2

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 5

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1346205358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 VENETIAN WAY",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308257",
            "telephone_number": "812-477-6103",
            "fax_number": "812-477-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 VENETIAN WAY",
            "address_2": "STE 200",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308257",
            "telephone_number": "812-469-3283",
            "fax_number": "812-469-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTEIGER",
        "first_name": "CHAD",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-11-11",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR0062881",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "02005826A",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "DO1674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319213",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.