Active NPI
Sumesh Potluri, DMD
- Dentist
- Silver Spring, MD
National Provider Identifier
1508021783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.022598
- Practice address
- 10750 Columbia Pike Ste 210
Silver Spring, MD 20901-4454 - Phone
- (440) 915-1272
- NPI assigned
- Jul 27, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 14941 | MD | |
| Dentist | 122300000X | 30.022598 | OH | Primary |
Addresses
Primary practice location
10750 Columbia Pike Ste 210
Silver Spring, MD 20901-4454
Mailing address
10750 Columbia Pike Ste 210
Silver Spring, MD 20901-4454
Phone (440) 915-1272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150305000603 | MD | Order and Referring Only - Other (Physician) | 6406172659 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.022598 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hani Ashqar DDS and Partners LLC | Past | Accepting new patients | |
| Sumesh Potluri DMD MSD PC | Endodontics | Past | Accepting new patients |
| James M. Wensink DDS Inc. | Dentist | Past | Accepting new patients |
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.
-
- Endodontics
- Silver Spring, MD
- NPI 1730600610
-
- Dental Clinic/Center
- Euclid, OH
- NPI 1326554387
-
- Dentist
- Euclid, OH
- NPI 1609059609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1508021783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10750 COLUMBIA PIKE STE 210",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014454",
"telephone_number": "440-915-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 COLUMBIA PIKE STE 210",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014454",
"telephone_number": "440-915-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTLURI",
"first_name": "SUMESH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-27",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "14941",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.022598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.