Provider Type Icon

DARYL K. POTTER D.P.M. NPI 1295739050


NPI Information

NPI: 1295739050
Provider Name: DARYL K. POTTER, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4612 OUTER LOOP
LOUISVILLE, KY
ZIP 40219
Phone: (502) 968-2233
Get Directions

Daryl K. Potter, D.P.M. is a foot and ankle surgery podiatrist in Louisville, KY with 23 years of experience. Daryl K. Potter, D.P.M. NPI is 1295739050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2001

The provider's business location address is:

4612 OUTER LOOP
LOUISVILLE, KY
ZIP 40219-971
Phone: (502) 968-2233
Fax: (502) 968-2283

The NPI 1295739050 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).

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.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 6/9/2005 and was last updated on 7/9/2007.


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
1213ES0103XPodiatristFoot & Ankle Surgery000271KENTUCKYYes

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
17969602OTHERKENTUCKYAETNA
25000492OTHERKENTUCKYPASSPORT - INDIVIDUAL
31214621OTHERKENTUCKYCHA
4U99884MEDICARE UPINKENTUCKY
52000305MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYINDIVIDUAL - JEFFERSON CO
60620460003OTHERKENTUCKYPALMETTO - HARDIN CO
780903495MEDICAIDKENTUCKY
82026979OTHERKENTUCKYCIGNA
91054674OTHERKENTUCKYPASSPORT - GROUP
10P00112387OTHERKENTUCKYUHC RAILROAD
1127-00311OTHERKENTUCKYUHC
120620460004OTHERKENTUCKYPALMETTO - JEFFERSON CO
131157245OTHERKENTUCKYPASSPORT DME
140201107MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYINDIVIDUAL - HARDIN CO.
1580903735MEDICAIDKENTUCKY
16000000332487OTHERKENTUCKYANTHEM
1780000466MEDICAIDKENTUCKY

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.