Active NPI
James Smullin Potyka, M.D.
- Personal Emergency Response Attendant
- San Antonio, TX
National Provider Identifier
1629062237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- E0585
- Practice address
- 111 Dallas St
San Antonio, TX 78205-1201 - Phone
- (210) 495-9860
- Fax
- (210) 495-9205
- NPI assigned
- Sep 9, 2005
- 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 |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | E0585 | TX | Primary |
Addresses
Primary practice location
111 Dallas St
San Antonio, TX 78205-1201
Mailing address
16414 San Pedro Ave
Suite 710
San Antonio, TX 78232-2277
Phone (210) 495-9860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Pediatric Physician MGMT LLC | Past | Accepting new patients | |
| River City Nurse Management LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- San Antonio, TX
- NPI 1508814385
-
- Nurse Practitioner
- San Antonio, TX
- NPI 1679665244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1629062237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16414 SAN PEDRO AVE",
"address_2": "SUITE 710",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782322277",
"telephone_number": "210-495-9860",
"fax_number": "210-495-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DALLAS ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051201",
"telephone_number": "210-495-9860",
"fax_number": "210-495-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTYKA",
"first_name": "JAMES",
"middle_name": "SMULLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "TX",
"license": "E0585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.