MINU JOHNSON POTTUKALAM FNP-C
NPI 1922804426
Nurse Practitioner - Family in Porter Ranch, CA

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment
20800 W BUR OAK CIR, PORTER RANCH, CA 91326(954) 918-7939 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Minu Johnson Pottukalam Fnp-c NPPES

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

MINU JOHNSON POTTUKALAM FNP-C (NPI 1922804426) is an individual family provider in Porter Ranch, California, licensed in California (95032599) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922804426
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMINU JOHNSON POTTUKALAMCredential: FNP-C
Location Address20800 W BUR OAK CIRPorter Ranch, CA 91326-4948
Mailing Address20800 W Bur Oak CirPorter Ranch, CA 91326-4948 · (954) 918-7939
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1922804426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95032599
20800 W BUR OAK CIR, Porter Ranch, CA 91326

Other Names 1

Former Name (1)Minu Johnson

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

Minu Johnson Pottukalam Fnp-c 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 ID547788226
PECOS Enrollment IDI20250516000480
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 Reassignment

Medicare enrollment records show Minu Pottukalam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
14860 ROSCOE BLVD, SUITE 300
Panorama City, CA 91402
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Shehnaz N Habib MD A Professional Corporation
  • 2 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91326 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Minu Pottukalam's NPI number?

The NPI number for Minu Pottukalam is 1922804426. It was assigned to this individual provider in the NPPES registry on February 24, 2025. The provider is also known as Minu Johnson.

Where is Minu Pottukalam located?

Minu Pottukalam practices at 20800 W Bur Oak Cir, Porter Ranch, CA 91326. The listed phone number is (954) 918-7939.

What is Minu Pottukalam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Minu Pottukalam enrolled in Medicare?

Yes. Minu Pottukalam 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 organization bills Medicare for Minu Pottukalam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minu Pottukalam reassigns Medicare benefits to Shehnaz N. Habib, M.D. A Professional Corporation (Panorama City, CA). The 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 Minu Pottukalam'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 Minu Pottukalam was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.