Active NPI
Ranganatha Prasad Potu, M.D.
- Cardiovascular Disease Physician
- Crystal River, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0036819
- Practice address
- 6122 W Corporate Oaks Dr
Crystal River, FL 34429-8722 - Phone
- (352) 228-8429
- Fax
- (352) 794-6326
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME36819 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | ME0036819 | FL | Primary |
Addresses
Primary practice location
6122 W Corporate Oaks Dr
Crystal River, FL 34429-8722
Mailing address
6122 W Corporate Oaks Dr
Crystal River, FL 34429-8722
Phone (352) 228-8429
Other practice location 1
4224 N Gulf to Lake Highway
Lecanto, FL 34461-9215
Phone (352) 513-3482
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001262401 | Medicaid | FL | |
| 060000091 | Other | FL | RAIL ROAD MEDICARE |
| 09052 | Other | FL | BLUE CROSS/BLUE SHIELD |
| 095765662 | Other | FL | TRI CARE FOR LIFE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6122 W Corporate Oaks Dr
Crystal River, FL 34429-8722
Phone (352) 613-3105
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0036819 | FL | MD | Cardiovascular Disease Physician |
| ME36819 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Potu Cardiology PL | Cardiovascular Disease | Current | Accepting new patients |
| Robert Feldman MD PA | Past | Accepting new patients | |
| Heart Associates PA | Cardiovascular Disease | Past | Accepting new patients |
| Lake Cardiovascular Diagnostic Center L.L.C | Cardiovascular Disease | Past | Accepting new patients |
Locations
6122 W Corporate Oaks Dr
Crystal River, FL 34429
Phone (352) 228-8429
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/IEABBD/Endpoint/IEABBD
- rpotu296964@direct.tgh.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Crystal River, FL
- NPI 1871005728
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Crystal River, FL
- NPI 1770539173
-
- Cardiovascular Disease Physician
- Lady Lake, FL
- NPI 1801135173
-
- Interventional Cardiology Physician
- Ocala, FL
- NPI 1487683686
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Citrus Hospital
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
dba Tampa General Hospital Crystal River
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801851217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6122 W CORPORATE OAKS DR",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344298722",
"telephone_number": "352-228-8429",
"fax_number": "352-794-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6122 W CORPORATE OAKS DR",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344298722",
"telephone_number": "352-228-8429",
"fax_number": "352-794-6326"
}
],
"practiceLocations": [
{
"address_1": "4224 N Gulf to Lake Highway",
"address_purpose": "LOCATION",
"city": "Lecanto",
"state": "FL",
"postal_code": "344619215",
"country_code": "US",
"telephone_number": "352-513-3482",
"fax_number": "352-513-3489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTU",
"first_name": "RANGANATHA",
"middle_name": "PRASAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME36819",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0036819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001262401",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "060000091",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "09052",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE FOR LIFE",
"identifier": "095765662",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.