Active NPI
Carlie Popovich, PA-C
- Surgical Physician Assistant
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MA059325
- Practice address
- 1307 Federal St Ste 2
Pittsburgh, PA 15212-4769 - Phone
- (877) 660-6777
- Fax
- (412) 359-8055
- NPI assigned
- Oct 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA059325 | PA | |
| Surgical Physician Assistant | 363AS0400X | MA059325 | PA | Primary |
Addresses
Primary practice location
1307 Federal St Ste 2
Pittsburgh, PA 15212-4769
Mailing address
1307 Federal St Ste 2
Pittsburgh, PA 15212-4769
Phone (877) 660-6777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14123570 | Other | CAQH | |
| 103394340 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cpopovich190522@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1307 Federal St
Pittsburgh, PA 15212-4769
2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone (412) 655-6500
20397 Route 19
Cranberry Township, PA 16066-6133
Phone (724) 772-3300
Hospital & facility affiliations
- Allegheny General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Locations
2000 Oxford Dr
Ste 211
Bethel Park, PA 15102
Phone (412) 283-0260
2419 State Ave
Ste 200
Coraopolis, PA 15108
Phone (412) 625-2625
20215 Route 19
Cranberry Twp, PA 16066
Phone (724) 772-9090
647 N Broad Street Ext
Ste 206
Grove City, PA 16127
Phone (724) 450-7004
1307 Federal St
Ste 2
Pittsburgh, PA 15212
Phone (412) 330-4461
1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777
2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Orthopaedic Surgery Physician
- Pittsburgh, PA
- NPI 1689674871
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1629078332
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1285667493
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburgh, PA
- NPI 1295857530
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburgh, PA
- NPI 1912029265
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1174033682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 FEDERAL ST STE 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124769",
"telephone_number": "877-660-6777",
"fax_number": "412-359-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 FEDERAL ST STE 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124769",
"telephone_number": "877-660-6777",
"fax_number": "412-359-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOVICH",
"first_name": "CARLIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA059325",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA059325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14123570",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103394340",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cpopovich190522@direct.ahn.org",
"affiliation": "N",
"address_1": "1307 Federal St Ste 2",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152124769",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.