Individual provider Active NPI

Laith Matti Potrous, MD

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1487073615
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301105756 Issued in MI
Practice address
5843 17 Mile Rd
Sterling Heights, MI 48310-6873
Phone
(586) 722-7741
Fax
(586) 883-9970
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301105756 MI Primary

Addresses

Primary practice location

5843 17 Mile Rd
Sterling Heights, MI 48310-6873

Mailing address

5843 17 Mile Rd
Sterling Heights, MI 48310-6873
Phone (586) 722-7741

Other practice location 1

5843 17 Mile Rd
Sterling Heights, MI 48310-6873
Phone (586) 722-7741

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL laith.potrous@familycareuc.com
CONNECT URL 1487073615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20171027000263 MI Practitioner - Family Practice 7416259791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laith Potrous MD PLLCGroup PAC ID 4880087386, 2 clinicians

Practice addresses (Care Compare)

5843 17 Mile Rd
Sterling Heights, MI 48310-6873
Phone (586) 549-7286

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.06 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Heights Urgent Care, PC Single Specialty CurrentSince Sep 23, 2017 Accepting new patients
Laith Potrous MD PLLC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Family Care Urgent Care PLLC Family Medicine CurrentSince Feb 13, 2022 Accepting new patients

Locations

5843 17 Mile Rd
Ste A
Sterling Heights, MI 48310

5843 17 Mile Rd
Sterling Heights, MI 48310
Phone (586) 549-7286

4321 Metropolitan Pkwy
Sterling Hts, MI 48310
Phone (586) 446-8688

31200 Dequindre Rd
Warren, MI 48092
Phone (586) 939-1800

Interoperability endpoints

  • Direct secure messaging: lkholka@ahcdetroit.directbygreenway.com
  • Direct secure messaging: lpotrous1144940@direct.hfhs.org

Organizations & group practices 3

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1487073615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5843 17 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106873",
            "telephone_number": "586-722-7741",
            "fax_number": "586-883-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5843 17 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106873",
            "telephone_number": "586-722-7741",
            "fax_number": "586-883-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5843 17 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483106873",
            "country_code": "US",
            "telephone_number": "586-722-7741",
            "fax_number": "586-883-9970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTROUS",
        "first_name": "LAITH",
        "middle_name": "MATTI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301105756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laith.potrous@familycareuc.com",
            "affiliation": "N",
            "address_1": "5843 17 Mile Rd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483106873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1487073615",
            "affiliation": "N",
            "address_1": "5843 17 Mile Rd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483106873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.