DR. ANIL POTHARAJU M.D
NPI 1740442532
Internal Medicine in Tucson, AZ

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
1501 N CAMPBELL AVE, DEPT OF MEDICINE, HOSPITALIST SERVICE, TUCSON, AZ 85724(520) 626-5797 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anil Potharaju M.d NPPES

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

DR. ANIL POTHARAJU M.D (NPI 1740442532) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (42114) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1740442532
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANIL POTHARAJUCredential: M.D
Location Address1501 N CAMPBELL AVE, DEPT OF MEDICINE, HOSPITALIST SERVICETucson, AZ 85724-0001
Mailing Address1501 N Campbell Ave, Dept Of Medicine, Hospitalist ServiceTucson, AZ 85724-0001 · (520) 626-5797
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 2, 2008
Last NPPES UpdateApril 16, 2015
NPI 1740442532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 42114
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1501 N CAMPBELL AVE, Tucson, AZ 85724

Accepted 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. Anil Potharaju 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 ID8729132030
PECOS Enrollment IDI20090821000121
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 6

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.
175 services61 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.
104 services40 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
53 services53 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.
24 services24 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.
16 services16 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$921.50 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.

Perfusionist
1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Obstetrics & Gynecology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Orthopaedic Surgery
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Anesthesiology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Emergency Medicine
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Radiology (Radiation Oncology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724

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 Anil Potharaju's NPI number?

The NPI number for Anil Potharaju is 1740442532. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Anil Potharaju located?

Anil Potharaju practices at 1501 N Campbell Ave Dept Of Medicine, Hospitalist Service, Tucson, AZ 85724. The listed phone number is (520) 626-5797.

What is Anil Potharaju's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anil Potharaju enrolled in Medicare?

Yes. Anil Potharaju 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.

What insurance does Anil Potharaju accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Anil Potharaju 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.

When was this NPI record last updated?

The NPPES record for Anil Potharaju was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.