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

Mary Portera

Individual provider Internal Medicine Physician · NPI 1861072514

Mary Portera practises Internal Medicine in New York, New York. Graduated from University of Tennessee, Hsc, College of Medicine in 2021, 5 years ago. Practices with Banner Hospital Based Physicians Colorado LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
CO
In the registry since
2021

Practice location Address checks out

630 W 168th St Ph 8
New York, NY 10032-3725
Phone: (212) 305-5960
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DR0072962 (CO)

Record details

NPI number1861072514
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESJune 29, 2024
Certification dateJune 29, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Banner Hospital Based Physicians Colorado Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients61
Services billed 169 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Banner Hospital Based Physicians Colorado LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 82 clinicians in the practice; 12 are shown here.

Other providers in New York