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DOUGLAS ALAN POTTS JR. MD
NPI 1821520230
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1234 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2024, Feb 12, 2022, Dec 2, 2021 and 1 more (4 updates tracked since 2021).

About Douglas Alan Potts Jr. Md NPPES

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

DOUGLAS ALAN POTTS JR. MD (NPI 1821520230) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (13293976-1205) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of University Of Washington School Of Medicine (2017).

NPPES Registry Identity

NPI1821520230
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDOUGLAS ALAN POTTS JR.Credential: MD
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287 · (801) 587-7450
Phone(801) 662-1234
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1821520230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in UT · 13293976-1205✔ Licensed in OH · 35138895
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 35138895 (OH)
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
Open in Google Maps ↗

Secondary Practice Locations 8

Location 17901 Diley Rd Ste 1507901Canal Winchester, OH 43110-9612 · Phone (614) 355-9050
Location 26435 E Broad StColumbus, OH 43213-1507 · Phone (614) 355-8100
Location 3100 Colemans XingMarysville, OH 43040-7080 · Phone (937) 578-7600
Location 4444 Butterfly Gardens DrColumbus, OH 43215-3427 · Phone (614) 722-2000
Location 5700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000
Location 6433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 355-8300
Location 77450 Hospital Dr Ste 100Dublin, OH 43016-8364 · Phone (614) 355-7000
Location 84363 All Seasons Dr Ste 100Hilliard, OH 43026-2050 · Phone (614) 355-5900

Other Identifiers 1

Medicaid0457149OH

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

Douglas Alan Potts Jr. 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 ID6800208844
PECOS Enrollment IDI20230929002978
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 Douglas Potts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Acuity Care
Same address
Pediatric Emergency Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1538523675 (801) 587-6336
University Of Utah Pediatric Services
Same address
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336

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

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.

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Douglas Potts's NPI number?

The NPI number for Douglas Potts is 1821520230. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Douglas Potts located?

Douglas Potts practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1234.

What is Douglas Potts's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Douglas Potts enrolled in Medicare?

Yes. Douglas Potts 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 Douglas Potts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Potts reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Acuity Care (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). 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 Douglas Potts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Potts was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.