RUPAL M. POTNIS MD
NPI 1972550770
Hospitalist in Evanston, IL

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
2650 RIDGE AVE STE 4210, EVANSTON, IL 60201(847) 570-1010(847) 733-5108 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rupal M. Potnis Md NPPES

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

RUPAL M. POTNIS MD (NPI 1972550770) is an individual hospitalist provider in Evanston, Illinois, licensed in Illinois (036105717) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1972550770
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameRUPAL M. POTNISCredential: MD
Location Address2650 RIDGE AVE STE 4210Evanston, IL 60201
Mailing Address2650 Ridge Ave Ste 4210Evanston, IL 60201-1700 · (847) 570-1010 · Fax (847) 733-5108
Fax(847) 733-5108
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 27, 2006
Last NPPES UpdateOctober 9, 2019
NPI 1972550770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036105717
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036105717 (IL)
2650 RIDGE AVE STE 4210, Evanston, IL 60201

Secondary Practice Location 1

Location 12650 Ridge Ave, Div of Internal Medicine, RM 4324Evanston, IL 60201-1718 · Phone (847) 570-1010 · Fax (847) 733-5128

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

Rupal M. Potnis 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 ID2668361171
PECOS Enrollment IDI20040312000774
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

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.

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.
99 services95 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
2650 RIDGE AVE STE 4210
EVANSTON, IL 60201
Hospitalist
2650 RIDGE AVE STE 4210
EVANSTON, IL 60201
Hospitalist
2650 RIDGE AVE STE 4210
EVANSTON, IL 60201
Hospitalist
2650 RIDGE AVE STE 4210
EVANSTON, IL 60201
Internal Medicine (Critical Care Medicine)
2650 RIDGE AVE STE 4210
EVANSTON, IL 60201
Hospitalist
2650 RIDGE AVE STE 4210
EVANSTON, IL 60201
Hospitalist
2650 RIDGE AVE STE 4210
EVANSTON, IL 60201
Hospitalist
2650 RIDGE AVE STE 4210
EVANSTON, IL 60201

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 Rupal Potnis's NPI number?

The NPI number for Rupal Potnis is 1972550770. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Rupal Potnis located?

Rupal Potnis practices at 2650 Ridge Ave Ste 4210, Evanston, IL 60201. The listed phone number is (847) 570-1010.

What is Rupal Potnis's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rupal Potnis enrolled in Medicare?

Yes. Rupal Potnis 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.

Is Rupal Potnis affiliated with any hospitals?

According to CMS data, Rupal Potnis is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Rupal Potnis was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.