Pothen Koruth MD LLC
NPI 1154599132 · Exclusive Provider Organization · Lake Mary, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pothen Koruth MD LLC is a Exclusive Provider Organization organization in Lake Mary, FL (NPI 1154599132).
Provider details
- NPI number
- 1154599132
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Carolyn Brown, Office Manager(407) 333-3303
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2008-02-13
Frequently asked questions
- What is Pothen Koruth MD LLC's NPI number?
- Pothen Koruth MD LLC's National Provider Identifier (NPI) is 1154599132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pothen Koruth MD LLC?
- Pothen Koruth MD LLC is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Pothen Koruth MD LLC located?
- Pothen Koruth MD LLC's practice location on file with NPPES is 758 N Sun Dr, Lake Mary, FL 32746-2599.
- What is Pothen Koruth MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Pothen Koruth MD LLC is (407) 333-3303.
- Does Pothen Koruth MD LLC accept Medicare?
- Pothen Koruth MD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pothen Koruth MD LLC?
- The authorized official listed on Pothen Koruth MD LLC's NPPES record is Carolyn Brown, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pothen Koruth MD LLC's NPI active?
- Yes — Pothen Koruth MD LLC's NPI (1154599132) is active in the NPPES registry as of the last update on 2008-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.