NPIMap

Individual provider Active NPI

Benjamin Kyle Potter, MD

  • Orthopaedic Surgery Physician
  • Washington, DC
National Provider Identifier
1427163849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D60916 Issued in MD
Practice address
Walter Reed Army Medical Ctr
6900 Georgia Avenue NW
Washington, DC 20307-0001
Phone
(202) 782-7806
Fax
(202) 782-6845
NPI assigned
Aug 19, 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
Orthopaedic Surgery Physician 207X00000X D60916 MD Primary

Addresses

Primary practice location

Walter Reed Army Medical Ctr
6900 Georgia Avenue NW
Washington, DC 20307-0001

Mailing address

2813 27TH St NW
Washington, DC 20008-4129
Phone (202) 939-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120925000286 DC Practitioner - Orthopedic Surgery 2264619857 Reassigns benefits to 1 organization
I20240625002592 PA Practitioner - Orthopedic Surgery 2264619857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3737 Market St
FL 7
Philadelphia, PA 19104-5545
Phone (215) 662-3340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D60916MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Surgical Associates LTD Current Accepting new patients
Children'S Surgical Associates LTD Orthopaedic Surgery CurrentSince Aug 16, 2024 Accepting new patients
Inova Health Care Services CurrentSince Jul 20, 2012 Accepting new patients
Children'S Surgical Associates LTD CurrentSince Aug 16, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Inova Health Care Services CurrentSince Jul 20, 2012 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

3737 Market St
#7
Philadelphia, PA 19104
Phone (267) 588-5850

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3737 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-4333

3737 Market St
Fl 7
Philadelphia, PA 19104

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

145 King of Prussia Rd
Ste 305
Radnor, PA 19087
Phone (610) 902-5700

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

3299 Woodburn Rd
Ste 370
Annandale, VA 22003
Phone (703) 573-2066

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 10

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427163849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 27TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084129",
            "telephone_number": "202-939-0688",
            "fax_number": "202-782-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED ARMY MEDICAL CTR",
            "address_2": "6900 GEORGIA AVENUE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-7806",
            "fax_number": "202-782-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "BENJAMIN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D60916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.