Anthony Populo, DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

239555 Issued in AZ

Practice address

1700 W Whitton Ave
Phoenix, AZ 85015-5533

Phone

(602) 318-4383

NPI assigned

Apr 20, 2020

Last updated

Apr 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Total Care LLCGroup PAC ID 6800128539, 18 clinicians

U2Rworthit1 LLCGroup PAC ID 8325435290, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Total Care LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1700433885
  Medicare reassignment Care Compare group NPD
• U2Rworthit1 LLC

  • Primary Care Nurse Practitioner
  • Tucson, AZ
  • NPI 1265187900
  Medicare reassignment Care Compare group NPD
• Neurocritical Care and Stroke of Arizona PLLC

  • Vascular Neurology Physician
  • Phoenix, AZ
  • NPI 1649561580
  Medicare reassignment NPD
• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006

  Nurse Practitioner

  Medicare reassignment NPD
• Well Life LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1356054860
  Authorized official Same address or phone
• Bruin Neurophysiology, P.C.

  • Clinical Neurophysiology Physician
  • Conshohocken, PA
  • NPI 1710364112
  NPD
• Arizona Total Care LLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1255228433
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1033739081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W WHITTON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155533",
            "telephone_number": "602-318-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W WHITTON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155533",
            "telephone_number": "602-318-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPULO",
        "first_name": "ANTHONY",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "239555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Elizabeth Poplawsky, PA
• Nicholas Anthony Poponea, DO
• Cristina Popovici, RN
• Lazarus Eric Popovski, RN,BSN
• Amanda Popsie
• Keith J Porche, MD
• Enriqueta M Porras, M.D.
• Misael Porras
• Vanessa Porras, FNP-C
• Portable Imaging of Arizona, LLC

• Acute Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.