Individual provider Active NPI

Martin K. Potash, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Denver, CO
National Provider Identifier
1811196819
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
R8153 Issued in IA
Practice address
695 S Broadway Ste 100
Denver, CO 80209-4003
Phone
(303) 899-6900
Fax
(303) 899-6999
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X R8153 IA Primary

Addresses

Primary practice location

695 S Broadway Ste 100
Denver, CO 80209-4003

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other identifiers 2

IdentifierTypeStateIssuer
DR.0051034OtherCOCO LICENSE
07479760MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120815000824 CO Practitioner - Pathology 1658527106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Iowa, RJ & L Carver College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Pathology Consultants PCGroup PAC ID 2264323096, 8 clinicians

Practice addresses (Care Compare)

12911 W 40TH Ave
Lutheran Hospital
Wheat Ridge, CO 80401-2696
Phone (877) 701-8188

1375 E 19TH Ave
Denver, CO 80218-1114
Phone (303) 812-3610

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (877) 701-8188

200 Exempla Circle
Exempla Good Sam Med Center Pathology Dept
Lafayette, CO 80026-3370
Phone (877) 701-8188

Hospital & facility affiliations

  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8153IAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Pathology Consultants PC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2012 Accepting new patients
Colorado Pathology Consultants PC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2012 Accepting new patients
Colorado Pathology Consultants PC Past Accepting new patients

Locations

695 S Broadway
Ste 100
Denver, CO 80209
Phone (303) 899-6900

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

Organizations & group practices 3

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 7

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1811196819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S BROADWAY STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094003",
            "telephone_number": "303-899-6900",
            "fax_number": "303-899-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTASH",
        "first_name": "MARTIN",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "R8153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LICENSE",
            "identifier": "DR.0051034",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07479760",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.