Richard A Potts, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02000896A Issued in IN

Practice address

202 North West St
Odon, IN 47562

Phone

(812) 636-7300

Fax

(812) 636-8204

NPI assigned

Mar 24, 2006

Last updated

Jan 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Daviess County Hospital

  dba Daviess County Hospital Physicians

  • General Acute Care Hospital
  • Washington, IN
  • NPI 1619154820
  Medicare reassignment NPD
• Daviess County Hospital

  dba Daviess Community Hospital Orthopaedics

  • Orthopaedic Surgery Physician
  • Washington, IN
  • NPI 1083915326
  NPD
• Daviess County Hospital

  dba Daviess Community Hospital Montgomery Medical Clinic

  • Rural Health Clinic/Center
  • Montgomery, IN
  • NPI 1336959279
  NPD
• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • Internal Medicine Physician
  • Bluffton, IN
  • NPI 1598783045

  Family Medicine

  NPD (past)
• Caylor Nickel Clinic, PC

  • Multi-Specialty Clinic/Center
  • Bluffton, IN
  • NPI 1669424784
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1942260864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "address_2": "1314 EAST WALNUT ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "47501",
            "telephone_number": "812-254-7310",
            "fax_number": "812-254-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NORTH WEST ST",
            "city": "ODON",
            "state": "IN",
            "postal_code": "47562",
            "telephone_number": "812-636-7300",
            "fax_number": "812-636-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000896A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000316823",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00179048",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100158940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CA5604",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richardpotts@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "202 North West St",
            "city": "Odon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa K Menefee, D.D.S.
• Mendy L Mullis, C-PA
• David M Nibel, MD
• Odon Optical, Inc.
• Odon Pharmacy LLC (Odon Pharmacy)
• Melissa L Reintjes, NP-C
• Daniell M Summers, NP
• Truth Counseling LLC (Truth Counseling)
• Wellnessfirst Chiropractic of Odon
• David Wintergerst, O.D.

• Family Medicine Physician in Odon, IN
• Providers in Odon, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.