Kireeti Potu, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

4301094041 Issued in MI

Practice address

7 N Main St
Suite 207
Mount Clemens, MI 48043-5644

Phone

(586) 203-8955

NPI assigned

Sep 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Global Health Systems, Inc.

  • Legal Medicine
  • Clinton TWP, MI
  • NPI 1841580388
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1932432622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29756 CITATION CIR",
            "address_2": "APT. 31204",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315893",
            "telephone_number": "713-657-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N MAIN ST",
            "address_2": "SUITE 207",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435644",
            "telephone_number": "586-203-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTU",
        "first_name": "KIREETI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301094041",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301094041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Plaskon
• Sarah Christine Coe Policicchio, MD
• Alexis Olivia Ponder, DO
• Benjamin Popp, DO
• Positve Transformations
• Mark Allan Powers
• Marcy Jennifer Preece
• Preferred Home Health Care Inc
• Preferred Home Health Care, Inc.
• Prestigous

• Legal Medicine in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.