ANTARA PRATAP POTHULOORI MD
NPI 1710131305
Obstetrics & Gynecology in Omaha, NE

Active since November 09, 2008PECOS EnrolledAccepts Medicare Assignment
8901 W DODGE RD, STE. 200B, OMAHA, NE 68114(402) 354-1700(402) 354-2055 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2017, Jan 9, 2017 (2 updates tracked since 2017).

About Antara Pratap Pothuloori Md NPPES

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

ANTARA PRATAP POTHULOORI MD (NPI 1710131305) is an individual obstetrics & gynecology provider in Omaha, Nebraska, licensed in Nebraska (25791) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of University Of Nebraska College Of Medicine (2006).

NPPES Registry Identity

NPI1710131305
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANTARA PRATAP POTHULOORICredential: MD
Location Address8901 W DODGE RD, STE. 200BOmaha, NE 68114-3327
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155
Fax(402) 354-2055
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2006
Enumeration DateNovember 9, 2008
Last NPPES UpdateJanuary 17, 20172 updates tracked since enumeration
✔ NPI 1710131305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NE · 25791✔ Licensed in KY · 47814✔ Licensed in CO · 50575✔ Licensed in CA · A104060
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8901 W DODGE RD, Omaha, NE 68114

Other Identifiers 5

Medicaid47068731799NE
Medicaid10026480100NE
Medicaid1710131305IA
Medicaid10026301600NE
Medicare PIN099099341NE

Accepted Insurance

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

Antara Pratap Pothuloori Md 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 ID9537224480
PECOS Enrollment IDI20100826000741
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 Reassignments

2

Medicare enrollment records show Antara Pothuloori reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
8303 DODGE ST
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 239 clinicians in this Medicare group
Family Medicine
10060 REGENCY CIR
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 544 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
16 services16 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner
8901 W DODGE RD
OMAHA, NE 68114
Psychiatry & Neurology (Neurology)
8901 W DODGE RD, SUITE 210
OMAHA, NE 68114
Family Medicine
8901 W DODGE RD
OMAHA, NE 68114
Internal Medicine
8901 W DODGE RD
OMAHA, NE 68114
Nurse Practitioner
8901 W DODGE RD
OMAHA, NE 68114
Nurse Practitioner
8901 W DODGE RD, STE 200B
OMAHA, NE 68114
Psychiatry & Neurology (Neurology)
8901 W DODGE RD, SUITE 210
OMAHA, NE 68114
Nurse Practitioner
8901 W DODGE RD
OMAHA, NE 68114

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 Antara Pothuloori's NPI number?

The NPI number for Antara Pothuloori is 1710131305. It was assigned to this individual provider in the NPPES registry on November 9, 2008.

Where is Antara Pothuloori located?

Antara Pothuloori practices at 8901 W Dodge Rd Ste. 200B, Omaha, NE 68114. The listed phone number is (402) 354-1700.

What is Antara Pothuloori's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Antara Pothuloori enrolled in Medicare?

Yes. Antara Pothuloori 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 organizations bill Medicare for Antara Pothuloori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antara Pothuloori reassigns Medicare benefits to 2 organizations: Nebraska Methodist Hospital (Omaha, NE) and Physicians Clinic Inc (Omaha, NE). Each 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 Antara Pothuloori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antara Pothuloori accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 2 other insurers list Antara Pothuloori as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Antara Pothuloori affiliated with any hospitals?

According to CMS data, Antara Pothuloori is affiliated with The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Antara Pothuloori was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.