NIKITHA POTTURI (MD) – Plastic and Reconstructive Surgery Physician, NPI 1386104313
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
183 PLASTIC AND RECONSTRUCTIVE SURGERY in VA
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Provider Addresses for NIKITHA POTTURI (MD)
1400, Vista Cove, Raymore, Cass County, Missouri, 64083, United States
RAYMORE, MO 640838711
Phone:
Type: Mailing
1906, Belleview Avenue Southeast, Bellview Terrace, Roanoke, Roanoke (city), Virginia, 24014, United States
ROANOKE, VA 240141838
Phone: (540) 981-7000
Type: Location
1906 Belleview Ave SE
Roanoke, VA 240141838
Phone: (540) 981-7000
Type: Location
801 S Washington St
Naperville, IL 605407430
Phone: (630) 527-5805
Type: Location
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone: (847) 570-2040
Type: Mailing
120 SPALDING DR STE 205
NAPERVILLE, IL 605406527
Phone: (630) 646-6020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $317.
Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($225).
Total Amount
$317
General + Research + Ownership
Payments
3
Total payment records
General Amount
$317
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $225 |
| Mentor Worldwide LLC | $92 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250611002711 | I | Plastic And Reconstructive Surgery | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64083)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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