NPIMap

Individual provider Active NPI

Alexandra Potock, D.O.

  • Internal Medicine Physician
  • Sewickley, PA
National Provider Identifier
1366708133
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS016814 Issued in PA
Practice address
1606 Carmody CT Ste 202
Sewickley, PA 15143-8566
Phone
(724) 933-1500
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS016814 PA Primary

Addresses

Primary practice location

1606 Carmody CT Ste 202
Sewickley, PA 15143-8566

Mailing address

1606 Carmody CT Ste 202
Sewickley, PA 15143-8566
Phone (724) 933-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527000946 PA Practitioner - Internal MedicinePractitioner - Emergency Medicine 8426378829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1606 Carmody CT
Suite 202
Sewickley, PA 15143-8566
Phone (724) 933-1500

203 High Pointe Dr
Seven Fields, PA 16046-7921
Phone (724) 742-1250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 1, 2022 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2017 Accepting new patients
Upmc Community Medcine Inc CurrentSince Jan 1, 2022 Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients

Locations

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

1400 Locust St
Pittsburgh, PA 15219
Phone (412) 232-7911

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

1606 Carmody Ct
Ste 202
Sewickley, PA 15143
Phone (724) 933-1500

Interoperability endpoints

  • Direct secure messaging: alexandra.g.potock@upmcdirect.com
  • Direct secure messaging: potockag@kch.securechart.com

Organizations & group practices 7

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 12

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1366708133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 CARMODY CT STE 202",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438566",
            "telephone_number": "724-933-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 CARMODY CT STE 202",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438566",
            "telephone_number": "724-933-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTOCK",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS016814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.