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NEIL POTHRAJ MD
NPI 1578095535
Emergency Medicine in Clinton, MD

Active since March 29, 2017PECOS Enrolled
95.99/100
CMS Quality Rating
7503 SURRATTS RD, CLINTON, MD 20735(301) 868-8000 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, Feb 12, 2020, Oct 1, 2019 and 1 more (4 updates tracked since 2017).

About Neil Pothraj Md NPPES

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

NEIL POTHRAJ MD (NPI 1578095535) is an individual emergency medicine provider in Clinton, Maryland, licensed in Maryland (D0087984) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578095535
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNEIL POTHRAJCredential: MD
Location Address7503 SURRATTS RDClinton, MD 20735-3358
Mailing Address7503 Surratts RdClinton, MD 20735-3358 · (301) 868-8000
Phone(301) 868-8000
Sole ProprietorYes
Enumeration DateMarch 29, 2017
Last NPPES UpdateJune 17, 20204 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1578095535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MD · D0087984✔ Licensed in DC · MD047599
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
7503 SURRATTS RD, Clinton, MD 20735
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16401 America Blvd Ste 200Hyattsville, MD 20782-2357 · Phone (301) 276-8800
Location 2201 E University PkwyBaltimore, MD 21218-2829 · Phone (410) 554-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neil Pothraj 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
217 services213 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
100 services99 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services79 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

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.

PEDIATRIX OF MARYLAND PA
Pediatrics (Neonatal-Perinatal Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Prince George's County (301) 868-8000
MRS. BRITTANY REGINA KELLY MS, CCC-SLP
Speech-Language Pathologist
7503 SURRATTS RD
CLINTON, MD 20735
Prince George's County (860) 336-8078
DR. GISELLE TRICIA BURNETT-HEADLEY M.D.
Pediatrics
7503 SURRATTS RD
CLINTON, MD 20735
Prince George's County (301) 877-4288
LATYRA GIBBS MD
Obstetrics & Gynecology
7503 SURRATTS RD
CLINTON, MD 20735
Prince George's County (301) 868-8000
LESLIE COVINGTON FINCHER PA-C
Physician Assistant
7503 SURRATTS RD, EMERGENCY DEPT, MEDSTAR SOUTHERN MARYLAND HOSPITAL
CLINTON, MD 20735
Prince George's County (301) 877-4500
RUI HONG
Nurse Anesthetist, Certified Registered
7503 SURRATTS RD
CLINTON, MD 20735
Prince George's County (301) 235-9078
MISS IVANNA PLYMOUTH NP
Nurse Practitioner (Critical Care Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Prince George's County (301) 877-4656
DR. JENNIFER APPIAH
Hospitalist
7503 SURRATTS RD
CLINTON, MD 20735
Prince George's County (703) 537-9677

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 Neil Pothraj's NPI number?

The NPI number for Neil Pothraj is 1578095535. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Neil Pothraj located?

Neil Pothraj practices at 7503 Surratts Rd, Clinton, MD 20735. The listed phone number is (301) 868-8000.

What is Neil Pothraj's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Neil Pothraj enrolled in Medicare?

Yes. Neil Pothraj is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Neil Pothraj was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.