Active NPI
Jagadish Potluri, MD
- Emergency Medicine Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101235365
- Practice address
- 44045 Riverside Parkway
Loudoun Hospital Center
Leesburg, VA 20176 - Phone
- (703) 858-6040
- Fax
- (610) 617-6280
- NPI assigned
- May 3, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101235365 | VA | Primary |
Addresses
Primary practice location
44045 Riverside Parkway
Loudoun Hospital Center
Leesburg, VA 20176
Mailing address
PO Box 13700-1369
Commonwealth Emergency Physicians PC
Philadelphia, PA 19191-1369
Phone (800) 666-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.67 of 100
- Quality
- 90.2
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| SCHC Pediatric Associates, LLC | Past | Accepting new patients | |
| Leeds Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Commonwealth Emergency Physicians PC | Past | Accepting new patients |
Locations
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464
224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
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.
-
- Physician Assistant
- Leesburg, VA
- NPI 1366061574
-
- Emergency Medicine Physician
- Atlantic City, NJ
- NPI 1326248667
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1417915752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13700-1369",
"address_2": "COMMONWEALTH EMERGENCY PHYSICIANS PC",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191911369",
"telephone_number": "800-666-2455",
"fax_number": "610-617-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PARKWAY",
"address_2": "LOUDOUN HOSPITAL CENTER",
"city": "LEESBURG",
"state": "VA",
"postal_code": "20176",
"telephone_number": "703-858-6040",
"fax_number": "610-617-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTLURI",
"first_name": "JAGADISH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101235365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.