Active NPI
Sara T Popovich, P.A.
- Physician Assistant
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110002115
- Practice address
- 6415 Peters Creek Rd
Roanoke, VA 24019-4021 - Phone
- (540) 265-5500
- Fax
- (540) 265-5515
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0110002115 | VA | |
| Physician Assistant | 363A00000X | 0110002115 | VA | Primary |
| Physician Assistant | 363A00000X | PA9106884 | FL |
Addresses
Primary practice location
6415 Peters Creek Rd
Roanoke, VA 24019-4021
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516
Other practice location 1
415 S Pollard St
Vinton, VA 24179-2502
Phone (540) 983-6700
Other practice location 2
1287 US Highway 41 Byp S
Venice, FL 34285-5545
Phone (941) 244-5706
Other practice location 3
333 Miami Ave W
Venice, FL 34285-2361
Phone (941) 584-4860
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LB278 | Other | FL | MEDICARE |
| 102562600 | Medicaid | FL | |
| Y0JT6 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 S Pollard St
Carilion Family Medicine Parkway Physicians
Vinton, VA 24179-2502
Phone (540) 983-6700
6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110
Hospital & facility affiliations
- Carilion Home Care Services - Roanoke
- Carilion Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients |
Locations
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
415 S Pollard St
Vinton, VA 24179
Phone (540) 938-6700
Interoperability endpoints
- spopovich194830@direct.carilionclinic.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Family Medicine Physician
- Venice, FL
- NPI 1467129452
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Home Health Agency
- Roanoke, VA
- NPI 1073506002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1073523726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6415 PETERS CREEK RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194021",
"telephone_number": "540-265-5500",
"fax_number": "540-265-5515"
}
],
"practiceLocations": [
{
"address_1": "415 S Pollard St",
"address_purpose": "LOCATION",
"city": "Vinton",
"state": "VA",
"postal_code": "241792502",
"country_code": "US",
"telephone_number": "540-983-6700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1287 US Highway 41 Byp S",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342855545",
"country_code": "US",
"telephone_number": "941-244-5706",
"fax_number": "941-800-4342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Miami Ave W",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342852361",
"country_code": "US",
"telephone_number": "941-584-4860",
"fax_number": "941-584-4859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POPOVICH",
"first_name": "SARA",
"middle_name": "T",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "VA",
"license": "0110002115",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002115",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106884",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "LB278",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102562600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y0JT6",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.