Active NPI
Robert H. Potter, MD
- Family Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1982678348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD029646E
- Practice address
- 5700 Corporate Dr
Suite 700, BLDG 3
Pittsburgh, PA 15237-5861 - Phone
- (412) 630-2670
- Fax
- (412) 630-2695
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD029646E | PA | Primary |
Addresses
Primary practice location
5700 Corporate Dr
Suite 700, BLDG 3
Pittsburgh, PA 15237-5861
Mailing address
5700 Corporate Dr
Suite 700, BLDG 3
Pittsburgh, PA 15237-5861
Phone (412) 630-2670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010114750012 | Medicaid | PA | |
| 080084056 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD029646E | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1982678348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 CORPORATE DR",
"address_2": "SUITE 700, BLDG 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375861",
"telephone_number": "412-630-2670",
"fax_number": "412-630-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 CORPORATE DR",
"address_2": "SUITE 700, BLDG 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375861",
"telephone_number": "412-630-2670",
"fax_number": "412-630-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "ROBERT",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD029646E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010114750012",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080084056",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.