DR. RAJENDRA POTLURI M.D.
NPI 1679562953
Hospitalist in Fargo, ND

Q: What is Rajendra Potluri's NPI number?

The NPI number for Rajendra Potluri is 1679562953. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Rajendra Potluri's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Rajendra Potluri was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment

82.99/100

CMS Quality Rating

801 BROADWAY N, FARGO, ND 58102(701) 234-2731(701) 234-2158 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Rajendra Potluri M.d. NPPES

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

DR. RAJENDRA POTLURI M.D. (NPI 1679562953) is an individual hospitalist provider in Fargo, North Dakota, licensed in North Dakota (9227) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1679562953

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. RAJENDRA POTLURICredential: M.D.

Location Address801 BROADWAY NFargo, ND 58102-3641

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 234-2731

Fax(701) 234-2158

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 19, 2005

Last NPPES UpdateOctober 14, 2021

NPPES CertifiedOctober 14, 2021

✔ NPI 1679562953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in ND · 9227

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 9227 (ND)

801 BROADWAY N, Fargo, ND 58102

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Other Identifiers 10

Other28583ND · Blue Shield

OtherP00003010ND · Railroad Medicare

Medicaid12271ND

Other25978ND · Blue Shield

Other28582ND · Blue Shield

Other28581ND · Blue Shield

Other22610ND · Blue Shield

Other28580ND · Blue Shield

Other28579ND · Blue Shield

OtherCF8850ND · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajendra Potluri 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 ID2264421742

PECOS Enrollment IDI20040510001022

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,038 services151 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

259 services251 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

128 services72 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

92 services90 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

38 services38 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240100

Location1300 Anne St NWBemidji, MN 56601 · Beltrami County

Emergency services Birthing friendly

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241379

Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County

Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Coteau Des Prairies Health Care System

Critical Access Hospitals · Sisseton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431339

Location205 Orchard DrSisseton, SD 57262 · Roberts County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

82.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.06

Promoting Interoperability

Improvement Activities

Cost

57.08

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water/saline, 500 ml A4217

DME-Medical/Surgical Supplies · category DA000N

2 suppliers13 claims103 services$2.93 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

2 suppliers13 claims412 services$6.30 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

1 supplier11 claims22 services$1.62 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers23 claims23 services$17.00 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier16 claims16 services$31.82 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers89 claims89 services$96.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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