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MR. RAHUL POTTABATHINI M.D
NPI 1972391514
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since April 25, 2025PECOS Enrolled
160 ROBBINS STREET CHASE OUTPATIENT CENTER, WATERBURY, CT 06708(203) 573-7284(203) 573-7031 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Rahul Pottabathini M.d NPPES

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

MR. RAHUL POTTABATHINI M.D (NPI 1972391514) is an individual student in an organized health care education/training program in Waterbury, Connecticut, licensed in Connecticut (82095) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972391514
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. RAHUL POTTABATHINICredential: M.D
Location Address160 ROBBINS STREET CHASE OUTPATIENT CENTERWaterbury, CT 06708
Mailing Address64 Robbins Street, Waterbury HospitalWatebury, CT 06708 · (203) 573-6162 · Fax (203) 357-6707
Phone(203) 573-7284
Fax(203) 573-7031
Sole ProprietorNo
Enumeration DateApril 25, 2025
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1972391514 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
License✔ Licensed in CT · 82095
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.
160 ROBBINS STREET CHASE OUTPATIENT CENTER, Waterbury, CT 06708
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Rahul Pottabathini M.d 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.

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 Rahul Pottabathini's NPI number?

The NPI number for Rahul Pottabathini is 1972391514. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Rahul Pottabathini located?

Rahul Pottabathini practices at 160 Robbins Street Chase Outpatient Center, Waterbury, CT 06708. The listed phone number is (203) 573-7284.

What is Rahul Pottabathini's specialty?

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

Is Rahul Pottabathini enrolled in Medicare?

Yes. Rahul Pottabathini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rahul Pottabathini was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.