PRATHIBHA POTHARLANKA (M.D.) – Hospitalist Physician, NPI 1295761690

PRATHIBHA POTHARLANKA (M.D.) is a healthcare provider. based in Columbus, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 25MA07690100 (NJ). The NPI Number for PRATHIBHA POTHARLANKA (M.D.) is 1295761690

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
PRATHIBHA POTHARLANKA (M.D.)
NPI
1295761690
Phone
(609) 789-0800
Address
30 BELMONT CIR
Enumeration Date
25 June 2006
Last Update Date
6 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6094388070
Graduation Year
1999 (27 years ago)
PAC ID
4587633862
Professional Enrollment ID
I20041004000017
Address ID
NJ080229714CO30XXXCIRX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for PRATHIBHA POTHARLANKA (M.D.)

  • 30 BELMONT CIR

    COLUMBUS, NJ 080229714

    Phone: (609) 789-0800

    Fax: (609) 298-0491

    Type: Mailing

  • Lourdes Medical Center of Burlington County, 218, Sunset Road, Buckingham Park, Willingboro, Willingboro Township, Burlington County, New Jersey, 08046, United States

    WILLINGBORO, NJ 080461110

    Phone: (609) 835-2900

    Fax: (856) 566-2797

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Lilly USA, LLC ($246).

Total Amount

$405

General + Research + Ownership

Payments

19

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041004000017IInternal MedicineNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes42399$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes17315$0
99214Established patient office or other outpatient visit, 30-39 minutes8372$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4912$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3913$0
View full utilization report →

Insurance plans in this area (ZIP 08022)

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Reviews

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Frequently asked questions

Does PRATHIBHA POTHARLANKA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PRATHIBHA POTHARLANKA (M.D.) uses 1295761690.
Can I rely on PRATHIBHA POTHARLANKA (M.D.) being an active provider?
As of the registry snapshot, PRATHIBHA POTHARLANKA (M.D.) is marked active.
What is PRATHIBHA POTHARLANKA (M.D.)'s specialty?
The listing groups PRATHIBHA POTHARLANKA (M.D.) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where is PRATHIBHA POTHARLANKA (M.D.) based?
PRATHIBHA POTHARLANKA (M.D.) is tied to Columbus, New Jersey in the data we show; additional addresses may exist on the full record.
Is the information about PRATHIBHA POTHARLANKA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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