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RENEE M POTERA M.D.
NPI 1477743276
Pediatrics - Pediatric Critical Care Medicine in Dallas, TX

Active since July 27, 2007PECOS EnrolledAccepts Medicare Assignment
5353 HARRY HINES BLVD, DALLAS, TX 75390(214) 456-7000(214) 456-8132 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Renee M Potera M.d. NPPES

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

RENEE M POTERA M.D. (NPI 1477743276) is an individual pediatric critical care medicine provider in Dallas, Texas, licensed in Texas (P7541) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1477743276
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameRENEE M POTERACredential: M.D.
Location Address5353 HARRY HINES BLVDDallas, TX 75390-7201
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 456-7000 · Fax (214) 456-8132
Phone(214) 456-7000
Fax(214) 456-8132
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateJuly 27, 2007
Last NPPES UpdateAugust 28, 2013
✔ NPI 1477743276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in TX · P7541✔ Licensed in MO · 2010005085
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
5353 HARRY HINES BLVD, Dallas, TX 75390
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renee M Potera M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456595016
PECOS Enrollment IDI20220923001085
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.

Medicare Billing Reassignment

Medicare enrollment records show Renee Potera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group
863 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MS. JANET EILEEN RANDOLPH CRNA
Nurse Anesthetist, Certified Registered
5353 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
DR. GREGORY PAUL KING JR. MD
Radiology (Diagnostic Radiology)
5353 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (416) 705-8921
DR. RANJIT KUMAR SINGH
Student in an Organized Health Care Education/Training Program
5353 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 577-8623
DR. ALLEN HENDRICKS D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
5353 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3142
HELENA HWANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
5353 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Potera's NPI number?

The NPI number for Renee Potera is 1477743276. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Renee Potera located?

Renee Potera practices at 5353 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 456-7000.

What is Renee Potera's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Renee Potera enrolled in Medicare?

Yes. Renee Potera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Renee Potera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renee Potera reassigns Medicare benefits to Phoenix Children's Medical Group (Mesa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renee Potera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Renee Potera was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.