Individual provider Active NPI

John Edward Popovich, MD

  • Family Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1295884302
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD024239E Issued in PA
Practice address
2000 Oxford Drive
Suite 302
Bethel Park, PA 15102
Phone
(412) 854-5491
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD024239E PA Primary

Addresses

Primary practice location

2000 Oxford Drive
Suite 302
Bethel Park, PA 15102

Mailing address

2000 Oxford Drive
Suite 302
Bethel Park, PA 15102
Phone (412) 854-5491

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000517 PA Practitioner - Family Practice 2668666231 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services, Inc. CurrentSince Dec 1, 2016 Accepting new patients
St Clair Medical Services Inc CurrentSince Dec 1, 2016 Accepting new patients

Locations

2000 Oxford Dr
Ste 302
Bethel Park, PA 15102
Phone (412) 854-5491

1000 Bower Hill Rd
Fl 2
Pittsburgh, PA 15243
Phone (412) 942-4272

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1295884302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DRIVE",
            "address_2": "SUITE 302",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "15102",
            "telephone_number": "412-854-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DRIVE",
            "address_2": "SUITE 302",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "15102",
            "telephone_number": "412-854-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICH",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD024239E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.