Bhavana Pottabatula, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2022-02460 Issued in NC

Practice address

101 Manning Dr CB # 7510
Chapel Hill, NC 27599-7510

Phone

(919) 966-4180

Fax

(919) 843-8740

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Diagnostic Radiology

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: bpottabatula726421@direct.unc.nchie.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1699303842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR CB # 7510",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997510",
            "telephone_number": "919-966-4180",
            "fax_number": "919-843-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR CB # 7510",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997510",
            "telephone_number": "919-966-4180",
            "fax_number": "919-843-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTABATULA",
        "first_name": "BHAVANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2022-02460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Nicole Portelli Tremont
• Patricia B Porter, PHD
• Deborah Shipley Porterfield
• Holly E Poston, CRNA
• Tonia Poteat, P.A. - C
• Emily Katherine Potts II
• Karla M Pou, M.D.
• Karen K Poulos, MD
• Katherine Elizabeth Poulos
• Levonne Powell-Tillman, MD

• Diagnostic Radiology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.