DR. RICHARD RANDALL POTTER III MD
NPI 1396494811
Student in an Organized Health Care Education/Training Program in Abington, PA

Active since March 22, 2022PECOS Enrolled
1200 OLD YORK RD, ABINGTON, PA 19001(215) 481-2000 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Richard Randall Potter Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD RANDALL POTTER III MD (NPI 1396494811) is an individual student in an organized health care education/training program in Abington, Pennsylvania and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1396494811
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RICHARD RANDALL POTTER IIICredential: MD
Location Address1200 OLD YORK RDAbington, PA 19001-3788
Mailing Address1200 Old York RdAbington, PA 19001-3788 · (215) 481-2000
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateMay 17, 2025
NPPES CertifiedMay 17, 2025
NPI 1396494811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 OLD YORK RD, Abington, PA 19001

Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-4486

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Richard Randall Potter Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396494811, enumerated as an "individual" on March 22, 2022.

The provider is located at 1200 OLD YORK RD ABINGTON, PA 19001 and the phone number is (215) 481-2000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.