Individual provider Active NPI

Anish Govind Radhakrishnan Potty, M.D.,

  • Orthopaedic Surgery Physician
  • Laredo, TX
National Provider Identifier
1902208440
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
Q3076 Issued in TX
Practice address
7210 McPherson Rd Ste 117
Laredo, TX 78041-6505
Phone
(844) 225-8463
Fax
(956) 242-0421
NPI assigned
Sep 16, 2014
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME121143 FL
Orthopaedic Surgery Physician 207X00000X Q3076 TX Primary

Addresses

Primary practice location

7210 McPherson Rd Ste 117
Laredo, TX 78041-6505

Mailing address

7210 McPherson Rd Ste 117
Laredo, TX 78041-6505
Phone (844) 225-8463

Other identifiers 1

IdentifierTypeStateIssuer
347261501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150512002659 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1254650336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14833 Southwest Fwy
Sugar Land, TX 77478-5016
Phone (844) 225-8463

7210 McPherson Rd
Suite 117
Laredo, TX 78041-6505
Phone (956) 282-4177

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)37
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121143FLMDOrthopaedic Surgery Physician
Q3076TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Institute of Musculoskeletal Excellence in Orthopedics PLLC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Laredo Sports Medicine Clinic, PA Multi-Specialty CurrentSince Jul 1, 2015 Accepting new patients
Excellence Emergency Hospital Physician PLLC Multi-Specialty CurrentSince Apr 15, 2024 Accepting new patients

Locations

15149 Wallisville Rd
Houston, TX 77049
Phone (832) 400-2396

7109 N Bartlett Ave
Ste 109
Laredo, TX 78041
Phone (956) 727-2122

7210 McPherson Rd
Ste 117
Laredo, TX 78041
Phone (844) 225-8463

9652 McPherson Rd
Ste 12
Laredo, TX 78045
Phone (956) 727-2122

Interoperability endpoints

  • Direct secure messaging: anish.potty.1@13131.direct.athenahealth.com
  • Direct secure messaging: anish.potty.1@28730.direct.athenahealth.com
  • Direct secure messaging: potty.anish.007.0430026@lsmd.meditab.direct-ci.com

Organizations & group practices 4

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 3

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1902208440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD STE 117",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "844-225-8463",
            "fax_number": "956-242-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD STE 117",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "844-225-8463",
            "fax_number": "956-242-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTY",
        "first_name": "ANISH",
        "middle_name": "GOVIND RADHAKRISHNAN",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME121143",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q3076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347261501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.