Individual provider Active NPI

Celeste E Pottorff, D.O.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1780875799
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
005675 Issued in AZ
Practice address
1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016-3911
Phone
(602) 241-1671
Fax
(602) 274-6181
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R1087 AZ
Obstetrics & Gynecology Physician 207V00000X 005675 AZ Primary

Addresses

Primary practice location

1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016-3911

Mailing address

1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016-3911
Phone (602) 241-1671

Other identifiers 1

IdentifierTypeStateIssuer
623283MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110927000818 AZ Practitioner - Obstetrics/Gynecology 3173794930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

1300 N 12TH St
Suite 508
Phoenix, AZ 85006-2849
Phone (602) 839-3927

1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016-3921
Phone (602) 241-1671

1661 E Camelback Rd
Suite 200
Phoenix, AZ 85016-3913

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005675AZMDObstetrics & Gynecology Physician
R1087AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Arizona OB GYN Affiliates PC CurrentSince Aug 1, 2011 Accepting new patients
Arizona OB/GYN Affiliates PC Obstetrics & Gynecology Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients

Locations

1187 E Cottonwood Ln
Ste B
Casa Grande, AZ 85122
Phone (520) 836-1000

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1950 W Frye Rd
Bldg B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

3420 S Mercy Rd
Ste 221
Gilbert, AZ 85297
Phone (480) 681-7374

1300 N 12th St
Ste 500
Phoenix, AZ 85006
Phone (602) 839-2606

1441 N 12th St
Fl 2AND3
Phoenix, AZ 85006

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

4530 E Ray Rd
Ste 125
Phoenix, AZ 85044
Phone (480) 759-9191

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

Interoperability endpoints

  • Direct secure messaging: celeste.pottorff.1@14294.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1780875799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163911",
            "telephone_number": "602-241-1671",
            "fax_number": "602-274-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163911",
            "telephone_number": "602-241-1671",
            "fax_number": "602-274-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTORFF",
        "first_name": "CELESTE",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "R1087",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "005675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623283",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.