Dr Charishma Potla, DO is a medicare enrolled "Hospitalist" physician in Fairmont, West Virginia. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice West Virginia University Medical Corporation and her current practice location is
1325 Locust Ave, Fairmont, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 534-7810.
Dr Charishma Potla is licensed to practice in West Virginia (license number 4635) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649900077.
Physician's Profile
| Full Name | Dr Charishma Potla |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 4 Years |
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| Location | 1325 Locust Ave, Fairmont, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charishma Potla graduated from medical school in 2022
NPI Data:
- NPI Number: 1649900077
- Provider Enumeration Date: 06/17/2022
- Last Update Date: 07/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436653805
- Enrollment ID: I20250918001993
Medical Identifiers
Medical identifiers for Dr Charishma Potla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649900077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | OT021926 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 4635 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| West Virginia University Medical Corporation | 1052224565 | 1997 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charishma Potla is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Charishma Potla, DO
1325 Locust Ave,
Fairmont, WV 26554-1435
Ph: (304) 534-7810 | Dr Charishma Potla, DO
1325 Locust Ave,
Fairmont, WV 26554-1435
Ph: (304) 534-7810 |
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