Individual provider Active NPI

Paul M Popper, M.D.

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1124045216
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME-0046549 Issued in FL
Practice address
21229 Olean Blvd
Suite D
Port Charlotte, FL 33952-6719
Phone
(941) 625-6223
Fax
(941) 627-2680
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME-0046549 FL Primary

Addresses

Primary practice location

21229 Olean Blvd
Suite D
Port Charlotte, FL 33952-6719

Mailing address

21229 Olean Blvd
Suite D
Port Charlotte, FL 33952-6719
Phone (941) 625-6223

Other identifiers 8

IdentifierTypeStateIssuer
5930135OtherAETNA
060012033OtherRAILROAD MEDICARE
592171328-002OtherTRICARE/CHAMPUS
046745600MedicaidFL
08148OtherBLUE SHIELD
1838539001OtherCIGNA
278926OtherWELLCARE
2101033OtherGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100927001532 FL Practitioner - Cardiovascular Disease (Cardiology) 7517083587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paul M Popper MD PAGroup PAC ID 3870762727, 2 clinicians

Practice addresses (Care Compare)

21229 Olean Blvd
Suite D
Port Charlotte, FL 33952-6719
Phone (941) 625-6223

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 625-6223

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 625-6223

809 E Marion St
Punta Gorda, FL 33950-3819
Phone (941) 625-6223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0046549FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul M Popper MD PA Cardiovascular Disease CurrentSince Jun 21, 2011 Accepting new patients

Locations

21229 Olean Blvd
Ste D
Pt Charlotte, FL 33952
Phone (941) 625-6223

1100 Loveland Blvd
Punta Gorda, FL 33980
Phone (941) 624-7200

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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 3

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1124045216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21229 OLEAN BLVD",
            "address_2": "SUITE D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526719",
            "telephone_number": "941-625-6223",
            "fax_number": "941-627-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21229 OLEAN BLVD",
            "address_2": "SUITE D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526719",
            "telephone_number": "941-625-6223",
            "fax_number": "941-627-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPER",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME-0046549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5930135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060012033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "592171328-002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046745600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "08148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1838539001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "278926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2101033",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.