Individual provider Active NPI

Tejaswini Potlapalli, M.D.

  • Internal Medicine Physician
  • Morgantown, WV
National Provider Identifier
1922363837
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53982 Issued in TN
Practice address
419 Mallard Run
Morgantown, WV 26508-7370
Phone
(336) 662-2499
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53982 TN Primary

Addresses

Primary practice location

419 Mallard Run
Morgantown, WV 26508-7370

Mailing address

419 Mallard Run
Morgantown, WV 26508-7370
Phone (336) 662-2499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160421001824 TN Practitioner - Internal Medicine 8325341977 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Havely Springs Physician Services PCGroup PAC ID 3678934726, 63 clinicians
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians
Williamson Hospitalist ProgramGroup PAC ID 0042553158, 42 clinicians

Practice addresses (Care Compare)

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4100

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

391 Wallace Rd
Southern Hills Medical Center
Nashville, TN 37211-4851
Phone (615) 781-4000

4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (615) 495-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53982TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Hospitalist Program CurrentSince Feb 1, 2025 Accepting new patients
Havely Springs Physician Services, PC CurrentSince Aug 15, 2023 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Hospital Medicine Services of TN, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

2300 Patterson St
#M
Nashville, TN 37203

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

300 20th Ave N
Fl 9
Nashville, TN 37203

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1922363837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MALLARD RUN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087370",
            "telephone_number": "336-662-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MALLARD RUN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087370",
            "telephone_number": "336-662-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLAPALLI",
        "first_name": "TEJASWINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "53982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.