Carol Wiltse Potts, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28417 Issued in WI

Practice address

2448 S 102ND St
Suite 270
West Allis, WI 53227-2466

Phone

(414) 543-9600

Fax

(414) 543-9601

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Iah of Wisconsin, PLLC

  • Family Medicine Physician
  • Brookfield, WI
  • NPI 1861898090
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Brookfield, WI
  • NPI 1659484657

  Internal Medicine

  Medicare reassignment NPD
• Vpa PC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Brookfield, WI
  • NPI 1376871947
  NPD
• Vpa PC

  • Family Medicine Physician
  • West Allis, WI
  • NPI 1619594702
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362

  Internal Medicine

  NPD

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1376645366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST",
            "address_2": "SUITE 270",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272466",
            "telephone_number": "414-543-9600",
            "fax_number": "414-543-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST",
            "address_2": "SUITE 270",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272466",
            "telephone_number": "414-543-9600",
            "fax_number": "414-543-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "CAROL",
        "middle_name": "WILTSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "28417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jean Podolske, APSW
• Olivia Louise Pogodzinski, DDS
• Sonia Polston, APSW
• Nicole Susan Ponda, DPT
• Dominic Patrick Porubsky
• Kathleen Mary Powell Mattioli, MD
• Monica Prado Leon
• Trina M Pratte, PT
• Premier Care of Wisconsin, LLC.
• Premier Care of Wisconsin, LLC.

• Internal Medicine Physician in West Allis, WI
• Providers in West Allis, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.