Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel J Potolicchio Jr., MD

Individual provider Neurological Surgery Physician · NPI 1114993367

Dr. Samuel J Potolicchio Jr., MD is a Neurology in Bethesda, Maryland. Qualified in 1974, 52 years ago. Practices with Piedmont Providers LLC, a 518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Virginia.

Years since qualifying
52
Licensed in
MD, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4940 Hampden Ln Ste 300
Bethesda, MD 20814-2968
Phone: (301) 652-7155
Fax: (301) 246-8628
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence D0042536 (MD)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 0101052485 (VA)
Neurology Physician Taxonomy 2084N0400X · Licence 0101052485 (VA)

Record details

NPI number1114993367
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 27, 2006
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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