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ELIJAH POTOKAR
NPI 1689312126
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since May 24, 2022PECOS Enrolled
1 UNIVERSITY OF NEW MEXICO MSC10 5610, ALBUQUERQUE, NM 87131(505) 272-4161 Get Directions Write a Review

NPPES record last updated: April 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2023, May 24, 2022 (2 updates tracked since 2022).

About Elijah Potokar NPPES

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

ELIJAH POTOKAR (NPI 1689312126) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1689312126
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIJAH POTOKAR
Location Address1 UNIVERSITY OF NEW MEXICO MSC10 5610Albuquerque, NM 87131-0001
Mailing Address1 University Of New Mexico Msc10 5610Albuquerque, NM 87131-0001
Phone(505) 272-4161
Sole ProprietorYes
Enumeration DateMay 24, 2022
Last NPPES UpdateApril 8, 20232 updates tracked since enumeration
NPPES CertifiedApril 8, 2023
✔ NPI 1689312126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1 UNIVERSITY OF NEW MEXICO MSC10 5610, Albuquerque, NM 87131
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Secondary Practice Location 1

Location 113001 E 17th PlAurora, CO 80045-2570 · Phone (303) 724-8660

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah Potokar 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

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

YOUSEF SOURI M.D.
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO MSC10 5610
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161

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 Elijah Potokar's NPI number?

The NPI number for Elijah Potokar is 1689312126. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Elijah Potokar located?

Elijah Potokar practices at 1 University Of New Mexico Msc10 5610, Albuquerque, NM 87131. The listed phone number is (505) 272-4161.

What is Elijah Potokar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elijah Potokar enrolled in Medicare?

Yes. Elijah Potokar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elijah Potokar was last updated on April 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.