Active NPI
George C Popp, MD
- Internal Medicine Physician
- Warren, MI
National Provider Identifier
1225010796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301065681
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00159682 | Other | MI | RAILROAD 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250327000554 | MI | Order and Referring Only - Internal Medicine | 4880754720 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Physicians Group of Michigan PLLC | Past | Accepting new patients | |
| Osh-Mi Physicians Group PC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- george.popp.1@27127.direct.athenahealth.com
- suzanne.york.2@19270.direct.athenahealth.com
- george.popp.1@19270.direct.athenahealth.com
- 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.
-
- Non-Pharmacy Dispensing Site
- Detroit, MI
- NPI 1366028730
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.