Gouri Bhawan Pothini, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD.60729650 Issued in WA

Practice address

1455 Battersby Ave
Enumclaw, WA 98022-3634

Phone

(360) 802-8800

NPI assigned

Sep 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  NPD (past)
• Family Health Medical Services Jamestown Convenience Care

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1801104583
  NPD (past)
• Salamance Family Health Center

  • Primary Care Clinic/Center
  • Salamanca, NY
  • NPI 1609009372
  NPD (past)
• Zia Sheikh MD Professional Corporation

  dba Olean / Salamanca Family Health Center

  • Internal Medicine Physician
  • Olean, NY
  • NPI 1548462880
  NPD (past)

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1710211487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HOPYARD RD STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883146",
            "telephone_number": "925-924-1600",
            "fax_number": "925-924-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BATTERSBY AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223634",
            "telephone_number": "360-802-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHINI",
        "first_name": "GOURI",
        "middle_name": "BHAWAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD.60729650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plateau Emergency Physicians
• Plateau Family Medicine, PS
• Plateau Massage LLC (Plateau Massage Therapy)
• Plateau Rehab Services
• Heidi Poortvliet
• Jamie Lynn Prak
• Daniel Miguel Prettel, MD
• Kristine Princehouse
• Puget Sound Specialty Physicians PLLC (Enumclaw Foot & Ankle Clinic)
• Puget Sound Specialty Physicians, PLLC

• Emergency Medicine Physician in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.