Individual provider Active NPI

Aruna Koney Potti, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1649372749
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3778 Issued in TX
Practice address
1151 N Buckner Blvd
Suite 103
Dallas, TX 75218
Phone
(214) 320-1200
Fax
(214) 320-9400
NPI assigned
Sep 1, 2006
Last updated
Jan 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3778 TX Primary

Addresses

Primary practice location

1151 N Buckner Blvd
Suite 103
Dallas, TX 75218

Mailing address

1151 N Buckner Blvd
Suite 103
Dallas, TX 75218-3426
Phone (972) 761-9750

Other identifiers 1

IdentifierTypeStateIssuer
00235QOtherTXBCBS

Other names 1

  • Aruna Koney Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120507000119 TX Practitioner - Internal Medicine 7315109592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1115 N Buckner Blvd
Suite 103
Dallas, TX 75218-3402
Phone (214) 320-1200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3778TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aruna Koney,MD., PA Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients

Locations

1151 N Buckner Blvd
Ste 103
Dallas, TX 75218
Phone (214) 320-1200

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEICAA/Endpoint/DEICAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1649372749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "972-761-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "214-320-1200",
            "fax_number": "214-320-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTI",
        "first_name": "ARUNA",
        "middle_name": "KONEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00235Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARUNA",
            "last_name": "KONEY",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.