NPIMap

Individual provider Active NPI

Benjamin N Potkin, M.D.

  • Cardiovascular Disease Physician
  • Santa Cruz, CA
National Provider Identifier
1740335090
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G55040 Issued in CA
Practice address
1595 Soquel Dr
Santa Cruz, CA 95065-1719
Phone
(831) 761-1680
NPI assigned
Jan 25, 2007
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G55040 CA Primary

Addresses

Primary practice location

1595 Soquel Dr
Santa Cruz, CA 95065-1719

Mailing address

1595 Soquel Dr
Santa Cruz, CA 95065-1719
Phone (831) 761-1680

Other identifiers 1

IdentifierTypeStateIssuer
1720100480OtherCAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000770 CA Practitioner - Cardiovascular Disease (Cardiology) 9830138411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rush Medical College of Rush University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monterey Bay Heart CenterGroup PAC ID 8224077805, 2 clinicians

Practice addresses (Care Compare)

73 Penny LN
Watsonville, CA 95076-3078
Phone (831) 761-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Bay Heart Center CurrentSince May 1, 2009 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1595 Soquel Dr
Ste 360
Santa Cruz, CA 95065
Phone (650) 450-0776

73 Penny Ln
Watsonville, CA 95076
Phone (831) 479-9500

Interoperability endpoints

  • Direct secure messaging: bpotkin@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1740335090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-761-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-761-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTKIN",
        "first_name": "BENJAMIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G55040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1720100480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.