Individual provider Active NPI

Valerie Popkin, M.D.

  • Cardiovascular Disease Physician
  • Waterford, CT
National Provider Identifier
1275575409
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
38610 Issued in CT
Practice address
196 Parkway S
Suite 103
Waterford, CT 06385-1234
Phone
(860) 443-4383
Fax
(860) 443-3980
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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 38610 CT Primary

Addresses

Primary practice location

196 Parkway S
Suite 103
Waterford, CT 06385-1234

Mailing address

196 Parkway South
Suite 103
Waterford, CT 06385
Phone (860) 443-4383

Other identifiers 16

IdentifierTypeStateIssuer
06-1616101OtherCOMM. HEALTH NETWORK/ECCD
06-1616101OtherUNITHEDHEALTHCARE/ECCD
0V7346OtherHEALTHNET/ECCG:06-1049086
010038610CT01OtherANTHEM/ECCG:06-1049086
500HBC444CT01OtherANTHEM/HOSP-BASED ECCD
P2069799OtherOXFORD/ECCG: 06-1049086
P2524335OtherOXFORD/ECCD: 06-1616101
06-1049086OtherCOMM HEALTH NETWORK/ECCG
06-1049086OtherUNITEDHEALTHCARE/ECCG
060059639OtherRR MED/ECCG:06-1049086
001386102MedicaidCT
038610OtherCONNECTICARE
060064818OtherRR MED/ECCD:06-1616101
010038610CT04OtherANTHEM/ECCD: 06-1616101
001002815OtherBLUECARE FAMILY PLAN
0V9739OtherHEALTHNET/ECCD:06-1616101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100304000140 CT Practitioner - Cardiovascular Disease (Cardiology) 4789774951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

196 Pkwy S
Suite 103
Waterford, CT 06385
Phone (860) 443-4383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38610CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Cardiovascular Disease CurrentSince Apr 1, 2017 Accepting new patients
Ocean Radiology Associates PC Past Accepting new patients
Eastern Conn. Cardiology Group Cardiovascular Disease PastSince Jan 1, 2006 Accepting new patients
Eastern CT Cardiology Diagnostics, LLC Cardiovascular Disease Past Accepting new patients

Locations

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

365 Montauk Ave
#L
New London, CT 06320
Phone (860) 449-4383

50 Faire Harbour Pl
Ste 2A
New London, CT 06320
Phone (860) 442-0564

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

196 Parkway S
Unit 103
Waterford, CT 06385

196 Parkway S
Ste 103
Waterford, CT 06385
Phone (860) 443-4383

Interoperability endpoints

  • Direct secure messaging: vpopkin187752@direct.ynhh.org

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.

Hospital & facility affiliations 8

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1275575409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PARKWAY SOUTH",
            "address_2": "SUITE 103",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-443-4383",
            "fax_number": "860-443-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 103",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-443-4383",
            "fax_number": "860-443-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKIN",
        "first_name": "VALERIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "38610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM. HEALTH NETWORK/ECCD",
            "identifier": "06-1616101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITHEDHEALTHCARE/ECCD",
            "identifier": "06-1616101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/ECCG:06-1049086",
            "identifier": "0V7346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/ECCG:06-1049086",
            "identifier": "010038610CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/HOSP-BASED ECCD",
            "identifier": "500HBC444CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD/ECCG:  06-1049086",
            "identifier": "P2069799",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD/ECCD:  06-1616101",
            "identifier": "P2524335",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM HEALTH NETWORK/ECCG",
            "identifier": "06-1049086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE/ECCG",
            "identifier": "06-1049086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED/ECCG:06-1049086",
            "identifier": "060059639",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001386102",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "038610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED/ECCD:06-1616101",
            "identifier": "060064818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/ECCD:  06-1616101",
            "identifier": "010038610CT04",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE FAMILY PLAN",
            "identifier": "001002815",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/ECCD:06-1616101",
            "identifier": "0V9739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.