Individual provider Active NPI

Laura N Popko

  • Internal Medicine Physician
  • Kirkland, WA
National Provider Identifier
1285077529
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60659937 Issued in WA
Practice address
11800 NE 128TH St Ste 300
Evergreenhealth Plaza Building
Kirkland, WA 98034-7211
Phone
(425) 814-5100
Fax
(425) 814-5103
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60659937 WA Primary

Addresses

Primary practice location

11800 NE 128TH St Ste 300
Evergreenhealth Plaza Building
Kirkland, WA 98034-7211

Mailing address

11800 NE 128TH St Ste 300
Evergreenhealth Plaza Building
Kirkland, WA 98034-7211
Phone (425) 814-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20231201002695 NV Practitioner - Internal Medicine 8921240904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nevada School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health AllianceGroup PAC ID 3577540160, 53 clinicians

Practice addresses (Care Compare)

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

2244 Oddie Blvd
Sparks, NV 89431-7574
Phone (775) 329-6300

330 Crampton St
Reno, NV 89502-2480
Phone (775) 329-6300

3915 Neil Rd
Reno, NV 89502-6808
Phone (775) 870-4333

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance CurrentSince Nov 13, 2023 Accepting new patients
Community Health Alliance CurrentSince Nov 13, 2023 Accepting new patients
Community Health Alliance Current Accepting new patients
Community Health Alliance Past Accepting new patients

Locations

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

280 Vista Knoll Pkwy
Ste 107
Reno, NV 89506
Phone (775) 250-0607

3915 Neil Rd
Reno, NV 89502
Phone (775) 870-4333

1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

5055 Sun Valley Blvd
Ste 100
Sun Valley, NV 89433
Phone (775) 870-4334

Interoperability endpoints

  • Direct secure messaging: laura.popko@direct.vmmc.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 2

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1285077529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 NE 128TH ST STE 300",
            "address_2": "EVERGREENHEALTH PLAZA BUILDING",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347211",
            "telephone_number": "425-814-5100",
            "fax_number": "425-814-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 NE 128TH ST STE 300",
            "address_2": "EVERGREENHEALTH PLAZA BUILDING",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347211",
            "telephone_number": "425-814-5100",
            "fax_number": "425-814-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKO",
        "first_name": "LAURA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60659937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.