Individual provider Active NPI

Michael Poppe, M.D.

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1073965059
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
70176 Issued in CA
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-5000
Phone
(619) 532-8547
NPI assigned
Jul 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X
Emergency Medicine Physician 207P00000X 70176 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-5000

Mailing address

2033 29TH St
San Diego, CA 92104-5503
Phone (804) 239-1815

Other practice location 1

435 H St
Chula Vista, CA 91910-4307
Phone (571) 241-3322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.a.poppe.mil@mail.mil Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811003386 CA Practitioner - Emergency Medicine 0941683700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth University, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chico Emergency Physicians Medical Group IncGroup PAC ID 0345277349, 25 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7330

435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.23 of 100Reported as group
Quality
82.54
Promoting interoperability
100
Improvement activities
40
Cost
86.14

Merit-based Incentive Payment System (MIPS)

Final score
98.55 of 100Reported as group
Quality
86.53
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70176CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chula Vista Emergency Room Physicians, a Medical Corporation Emergency Medicine CurrentSince Jun 29, 2022 Accepting new patients
Chico Emergency Physicians Medical Group, Inc Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

Interoperability endpoints

  • Direct secure messaging: mpoppe73029@enloedirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1073965059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 29TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045503",
            "telephone_number": "804-239-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345000",
            "telephone_number": "619-532-8547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 H St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919104307",
            "country_code": "US",
            "telephone_number": "571-241-3322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPPE",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "70176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.a.poppe.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Military email capable of receiving encrypted information.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Military Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Military Email",
            "address_1": "34800 Bob Wilson Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921345000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.