Organization Active NPI

Dr. Jovan M. Popovich M.D., P.a.

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1083743611
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
J9275 Issued in TX
Legal business name
DR. JOVAN M. POPOVICH M.D., P.A.
Practice address
4126 Southwest Fwy
Suite #520
Houston, TX 77027-7310
Phone
(713) 850-7272
Fax
(713) 877-0970
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jovan M Popovich, M.D.
Title
Physician
Phone
(713) 850-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X J9275 TX Primary

Addresses

Primary practice location

4126 Southwest Fwy
Suite #520
Houston, TX 77027-7310

Mailing address

4126 Southwest Fwy
Suite #520
Houston, TX 77027-7310
Phone (713) 850-7272

Other identifiers 1

IdentifierTypeStateIssuer
0003HROtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4126 Southwest Fwy
Ste 520
Houston, TX 77027
Phone (713) 850-7272

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083743611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE #520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "713-850-7272",
            "fax_number": "713-877-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE #520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "713-850-7272",
            "fax_number": "713-877-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOVAN M. POPOVICH M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPOVICH",
        "authorized_official_first_name": "JOVAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-850-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "J9275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0003HR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.