NPIMap

Individual provider Active NPI

Anthony Joseph Popoff, DPM

  • Foot & Ankle Surgery Podiatrist
  • Erie, PA
National Provider Identifier
1073245213
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007397 Issued in PA
Practice address
1858 W Grandview Blvd
Erie, PA 16509-1025
Phone
(814) 520-4835
NPI assigned
Jun 27, 2022
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X LPR00238 RI
Foot & Ankle Surgery Podiatrist 213ES0103X SC007397 PA Primary

Addresses

Primary practice location

1858 W Grandview Blvd
Erie, PA 16509-1025

Mailing address

1809 Zimmerly Rd
Erie, PA 16509-6208
Phone (814) 520-4835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521000398 PA Practitioner - Podiatry 4688192875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Practice addresses (Care Compare)

537 W 18TH St
Plaza 18 Medical Center
Erie, PA 16502-1722
Phone (814) 456-1009

5401 Peach St
Suite 3400
Erie, PA 16509-2601
Phone (814) 868-2200

5637 Peach St
Erie, PA 16509-2605
Phone (814) 864-0690

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue78
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007397PAMDFoot & Ankle Surgery Podiatrist
LPR00238RIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Practice of Lecom Institute for Successful Living CurrentSince Jun 16, 2025 Accepting new patients
Millcreek Community Hospital Foot & Ankle Surgery CurrentSince Jul 14, 2025 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living CurrentSince Jun 16, 2025 Accepting new patients
Millcreek Community Hospital CurrentSince Jul 14, 2025 Accepting new patients
Millcreek Community Hospital CurrentSince Jul 14, 2025 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Current Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Past Accepting new patients
Medical Associates of Erie Foot & Ankle Surgery Past Accepting new patients

Locations

537 W 18th St
Erie, PA 16502
Phone (814) 454-3174

537 W 18th St
#18
Erie, PA 16502
Phone (814) 456-1009

5401 Peach St
Erie, PA 16509
Phone (814) 868-2170

5401 Peach St
Ste 3400
Erie, PA 16509
Phone (814) 868-2200

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

5637 Peach St
Erie, PA 16509
Phone (814) 864-0690

9040 Wattsburg Rd
Erie, PA 16509
Phone (814) 737-0833

Interoperability endpoints

  • Direct secure messaging: apopoff@lisl.medentdirect.com
  • Direct secure messaging: apopoff@maoeim-pa.direct.office.nextgen.com

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1073245213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 ZIMMERLY RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165096208",
            "telephone_number": "814-520-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 W GRANDVIEW BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091025",
            "telephone_number": "814-520-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOFF",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "LPR00238",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.