Dr Rajendra Potluri, MD | |
801 Broadway N, Fargo, ND 58102-3641 | |
(701) 234-2731 | |
(701) 234-2158 |
Full Name | Dr Rajendra Potluri |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 30 Years |
Location | 801 Broadway N, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679562953 | NPI | - | NPPES |
22610 | Other | ND | BLUE SHIELD |
12271 | Medicaid | ND | |
28580 | Other | ND | BLUE SHIELD |
CF8850 | Other | ND | RAILROAD MEDICARE |
28582 | Other | ND | BLUE SHIELD |
28579 | Other | ND | BLUE SHIELD |
28581 | Other | ND | BLUE SHIELD |
25978 | Other | ND | BLUE SHIELD |
28583 | Other | ND | BLUE SHIELD |
P00003010 | Other | ND | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 9227 (North Dakota) | Primary |
207R00000X | Internal Medicine | 9227 (North Dakota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Sanford Hillsboro | Hillsboro, ND | Hospital |
Perham Health | Perham, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
Entity Name | Sanford Medical Center Fargo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
---|---|
Dr Rajendra Potluri, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Rajendra Potluri, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2731 |
Malik Muhammad Anwar Ul Haq, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Christina Harmon, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Riley Clark, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2000 | |
Irina Hillman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Hannah Margaret Schradick, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933 | |
James D Fowler, PA Hospitalist Medicare: Medicare Enrolled Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Weimin Hao, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-2731 Fax: 701-234-2158 |