Individual provider Active NPI

Fred Potts, M.D.

  • Anesthesiology Physician
  • Laredo, TX
National Provider Identifier
1407927817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E8825 Issued in TX
Practice address
1710 E Saunders St
Suite 384
Laredo, TX 78041-5443
Phone
(956) 523-8875
Fax
(956) 523-8689
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E8825 TX Primary

Addresses

Primary practice location

1710 E Saunders St
Suite 384
Laredo, TX 78041-5443

Mailing address

PO Box 659506
San Antonio, TX 78265-9506
Phone (956) 523-8875

Other identifiers 1

IdentifierTypeStateIssuer
123616805MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8825TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Feb 1, 2009 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 25, 2024 Accepting new patients
Xenon Medical of Texas PLLC Anesthesiology CurrentSince Jan 29, 2019 Accepting new patients
Clinical Partners PA Anesthesiology Past Accepting new patients
Anesthesia Healthcare Partners of Laredo, P. a. Anesthesiology Past Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

421 School St
Ste 110
Tomball, TX 77375
Phone (281) 357-1977

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407927817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659506",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782659506",
            "telephone_number": "956-523-8875",
            "fax_number": "956-523-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST",
            "address_2": "SUITE 384",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415443",
            "telephone_number": "956-523-8875",
            "fax_number": "956-523-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "E8825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123616805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.