Individual provider Active NPI

Harrison Adam Potak

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1578069241
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD485866 Issued in PA
Practice address
5501 Old York Rd BLDG 4TH
Philadelphia, PA 19141-3018
Phone
(215) 456-7900
Fax
(215) 456-3428
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 MD485866 PA Primary

Addresses

Primary practice location

5501 Old York Rd BLDG 4TH
Philadelphia, PA 19141-3018

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-7000

Other practice location 1

550 1st Ave
New York, NY 10016-6402
Phone (100) 162-1226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250106000515 PA Practitioner - Orthopedic Surgery 1052659562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Univ of Central Florida, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

601 Walnut St
Suite L50
Philadelphia, PA 19106-3305
Phone (215) 409-9300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement23
Knee replacement19
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Nov 3, 2024 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 1, 2025 Accepting new patients
Einstein Practice Plan Inc Orthopaedic Surgery CurrentSince Nov 3, 2024 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 Old York Rd
Bldg 4TH
Philadelphia, PA 19141
Phone (215) 456-3930

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

9880 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 456-6200

5501 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-7900

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

Organizations & group practices 8

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 3

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1578069241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-7000",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD BLDG 4TH",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7900",
            "fax_number": "215-456-3428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "100-162-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTAK",
        "first_name": "HARRISON",
        "middle_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD485866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.