Individual provider Active NPI

George C Popp, MD

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1225010796
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065681 Issued in MI
Practice address
1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone
(586) 840-1333
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301065681 MI
Internal Medicine Physician 207R00000X 4301065681 MI Primary

Addresses

Primary practice location

1921 E 8 Mile Rd
Warren, MI 48091-2402

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (586) 840-1333

Other practice location 1

1701 South Blvd E
Ste 250
Rochester Hills, MI 48307-6122
Phone (248) 293-1002

Other identifiers 1

IdentifierTypeStateIssuer
P00159682OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250327000554 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4880754720

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Michigan PLLC PastSince Mar 28, 2021 Accepting new patients
Osh-Mi Physicians Group PC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: george.popp.1@27127.direct.athenahealth.com
  • Direct secure messaging: suzanne.york.2@19270.direct.athenahealth.com
  • Direct secure messaging: george.popp.1@19270.direct.athenahealth.com
  • Direct secure messaging: gpopp431526@direct.hfhs.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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1225010796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "586-840-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-840-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 South Blvd E",
            "address_2": "Ste 250",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076122",
            "country_code": "US",
            "telephone_number": "248-293-1002",
            "fax_number": "248-293-1272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPP",
        "first_name": "GEORGE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301065681",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00159682",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.