NPIMap

Individual provider Active NPI

Richard I Popovic, MD

  • Family Medicine Physician
  • Foxboro, MA
National Provider Identifier
1407846579
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
155338 Issued in MA
Practice address
70 Walnut St
Foxboro, MA 02035-5312
Phone
(508) 543-6371
Fax
(508) 543-3347
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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 155338 MA Primary

Addresses

Primary practice location

70 Walnut St
Foxboro, MA 02035-5312

Mailing address

70 Walnut St
Foxboro, MA 02035-5312
Phone (508) 543-6371

Other identifiers 1

IdentifierTypeStateIssuer
3183548MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000064 MA Practitioner - Family Practice 7719174150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

70 Walnut St
Revere Medical Foxboro
Foxboro, MA 02035-5312
Phone (508) 543-6371

Hospital & facility affiliations

  • Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155338MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC Family Medicine CurrentSince Nov 7, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group Inc. Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Locations

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

70 Walnut St
Ste 201
Foxboro, MA 02035
Phone (508) 698-3200

70 Walnut St
Foxborough, MA 02035
Phone (508) 543-6371

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: richard.popovic.1@32866.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1407846579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020355312",
            "telephone_number": "508-543-6371",
            "fax_number": "508-543-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020355312",
            "telephone_number": "508-543-6371",
            "fax_number": "508-543-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVIC",
        "first_name": "RICHARD",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "155338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3183548",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.