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MICHAEL W POTTER MD NPI 1124004403


NPI Information

NPI: 1124004403
Provider Name: MICHAEL W POTTER, MD
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
123 SUMMER ST
SUITE 210
WORCESTER, MA
ZIP 01608
Phone: (508) 368-3190
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Michael W Potter, MD is a surgery in Worcester, MA with 27 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Michael W Potter, MD NPI is 1124004403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:1997

The provider's business location address is:

123 SUMMER ST
SUITE 210
WORCESTER, MA
ZIP 01608-312
Phone: (508) 368-3190
Fax: (508) 368-3985

The NPI 1124004403 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 12/19/2005 and was last updated on 2/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery160784MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1419312OTHERTUFTS HEALTH PLAN
270438OTHERHEALTHY START
33208125MEDICAIDMASSACHUSETTS
4784069OTHERMVP HEALTH CARE
5A37468MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
604 2472266OTHERONE HEALTH PLAN
72023718OTHERCIGNA HEALTH PLAN
804 2472266OTHERPRIVATE HEALTHCARE SYST.
970438OTHERCHILDRENS MEDICAL
10A37468OTHERMEDICARE B
1104 2472266OTHERTHREE RIVERS
123208125OTHERMEDICAID WELFARE
132230931OTHERFIRST HEALTH
14AA16160OTHERHARVARD PILGRIM HEALTH
1560679OTHERFALLON COMMUNITY HEALTH
16H14915MEDICARE UPIN
17J22264OTHERBLUE SHIELD HMO BLUE
18J22264OTHERBLUE CARE ELECT
19784068OTHERMVP HEALTH CARE
207985198OTHERAETNA US HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.