Active NPI
Michael S. Popper, M.D.
- Internal Medicine Physician
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-045774
- Practice address
- 133 E Brush Hill Rd Ste 401
Elmhurst, IL 60126 - Phone
- (630) 932-2020
- Fax
- (630) 932-4637
- NPI assigned
- May 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-045774 | IL | Primary |
Addresses
Primary practice location
133 E Brush Hill Rd Ste 401
Elmhurst, IL 60126
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-1634
Phone (630) 469-2000
Other practice location 1
2340 S Highland Ave Ste 210
Lombard, IL 60148-7132
Phone (630) 932-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-045774 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-045774 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
133 E Brush Hill Rd
Ste 401
Elmhurst, IL 60126
Phone (630) 932-2020
133 E Brush Hill Rd
Ste 100
Elmhurst, IL 60126
Phone (630) 501-0630
430 Warrenville Rd
Ste 210
Lisle, IL 60532
Phone (630) 432-6180
2340 S Highland Ave
Ste 210
Lombard, IL 60148
Phone (630) 932-2020
675 W North Ave
Ste 303
Melrose Park, IL 60160
Phone (708) 343-8900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1346298684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606741634",
"telephone_number": "630-469-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E BRUSH HILL RD STE 401",
"city": "ELMHURST",
"state": "IL",
"postal_code": "60126",
"telephone_number": "630-932-2020",
"fax_number": "630-932-4637"
}
],
"practiceLocations": [
{
"address_1": "2340 S Highland Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601487132",
"country_code": "US",
"telephone_number": "630-932-2020",
"fax_number": "630-932-4637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POPPER",
"first_name": "MICHAEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-045774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-045774",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.