Doctor profile · Federal record
Dr. ANTARA POTHULOORI, MD
Obstetrics & Gynecology Physician (CMS: OBSTETRICS/GYNECOLOGY) · Obstetrics & Gynecology Physician · Obstetrics & Gynecology Physician · Obstetrics & Gynecology Physician · OMAHA, NE
- NPI 1710131305
- Accepts Medicare
- 20 yrs in practice
- Licensed in 4 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8901 W DODGE RD, STE. 200B
OMAHA, NE 681143327
(402) 354-1700
fax (402) 354-2055 - Mailing address
-
PO BOX 3755
OMAHA, NE 681030755
Credentials & registration
- NPI registered
- November 2008 — 18 yrs on file
- Profile last updated
- January 17, 2017
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State licenses (4)
- Nebraska #25791 · California #A104060 · Colorado #50575 · Kentucky #47814
- Medicaid (4)
- NE #47068731799 · NE #10026301600 · IA #1710131305 · NE #10026480100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710131305. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
32
Distinct HCPCS
2
Medicare allowed
$1,690
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
77063 |
Screening 3d breast mammography | 16 | 16 | $22 | |
77067 |
Screening mammography | 16 | 16 | $84 |
In context: peer comparison
Among 21 peers in this city , average services per provider: 25. This provider delivers 1.3× the peer median.Open Payments
Industry payments received
All-time total
$528
Transactions
26
Manufacturers
14
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sumitomo Pharma America, Inc. | 3 | $96.82 | |
| MAYNE PHARMA COMMERCIAL LLC | 4 | $68.95 | |
| Organon Llc | 2 | $55.21 | |
| Biogen, Inc. | 2 | $46.52 | |
| ABBVIE INC. | 2 | $45.72 | |
| Astellas Pharma US Inc | 3 | $45.67 | |
| Exeltis, USA Inc. | 2 | $44.08 | |
| Hologic Sales and Service, LLC | 2 | $30.52 | |
| MEDICEM INC. | 1 | $23.21 | |
| Merck Sharp & Dohme LLC | 1 | $16.58 | |
| PFIZER INC. | 1 | $14.43 | |
| Novo Nordisk Inc | 1 | $13.71 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $13.47 | |
| CooperSurgical, Inc. | 1 | $13.25 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
14
Patients
0
Total drug cost
$601
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 14 | 0 | $601 |