Jovan Vasilija Popovich

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009563 Issued in MI

Practice address

300 Jubilee Dr
Peabody, MA 01960-4068

Phone

(877) 341-9606

NPI assigned

Jan 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

83.02

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jpopovich691878@direct.hfhs.org

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.

• Gastrointestinal Specialists PC

  • Gastroenterology Physician
  • Troy, MI
  • NPI 1780750125
  Medicare reassignment
• Southgate Medical Group, PLLC

  • Internal Medicine Physician
  • Southgate, MI
  • NPI 1619034071
  Medicare reassignment
• Essential Anesthesia Services, PLC

  • Certified Registered Nurse Anesthetist
  • Troy, MI
  • NPI 1932482098
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1396384707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31328 LOUISE DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480882018",
            "telephone_number": "586-863-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JUBILEE DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604068",
            "telephone_number": "877-341-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICH",
        "first_name": "JOVAN",
        "middle_name": "VASILIJA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Poirier, LPN
• Jared Polansky, PA-C
• Jeffrey A. Polansky, M.D.
• Andrew Polony, M.D.
• Justina Polvere
• Breana Marie Porcello, MSW
• James Poulin, PA
• Jessica Leigh Poulin
• Lina Poum, COTA
• Emily M Powers

• Physician Assistant in Peabody, MA
• Providers in Peabody, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.