Individual provider Active NPI

Femi Popoola, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1417307380
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T0317 Issued in TX
Practice address
2411 NE Loop 410 Ste 114
San Antonio, TX 78217-6600
Phone
(210) 868-5801
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2019024574 MO
Psychiatry Physician 2084P0800X 2016016406 MO
Psychiatry Physician 2084P0800X T0317 TX Primary

Addresses

Primary practice location

2411 NE Loop 410 Ste 114
San Antonio, TX 78217-6600

Mailing address

2411 NE Loop 410 Ste 114
San Antonio, TX 78217-6600
Phone (210) 868-5801

Other practice location 1

11212 State Highway 151 Ste 120
San Antonio, TX 78251-4498
Phone (210) 868-5801

Other practice location 2

790 Generations Dr
New Braunfels, TX 78130-0086
Phone (210) 868-5801

Other practice location 3

3501 Berrywood Dr
Columbia, MO 65201-6584
Phone (844) 853-8937

Other practice location 4

1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190919000102 MO Practitioner - Psychiatry 9638462922 Reassigns benefits to 2 organizations
I20210929003277 TX Practitioner - Psychiatry 9638462922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2003 Rogers Rd
Suite 106
San Antonio, TX 78251-4834
Phone (210) 868-5801

2411 NE Loop
410 Suite 114
San Antonio, TX 78217-6600
Phone (210) 868-5801

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Graceland Psychiatry Solutions PLLC Psychiatry CurrentSince Jan 5, 2026 Accepting new patients
Compass Health, Inc CurrentSince May 17, 2021 Accepting new patients
Graceland Psychiatric and Neuromodulation Center PLLC Psychiatry CurrentSince Sep 1, 2021 Accepting new patients
Compass Health, Inc CurrentSince May 17, 2021 Accepting new patients

Locations

805 N Orange St
Butler, MO 64730
Phone (660) 200-7042

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

3501 Berrywood Dr
Columbia, MO 65201
Phone (573) 874-2851

619 N Providence Rd
Columbia, MO 65203
Phone (573) 234-1070

33 E Broadway
Ste 155
Columbia, MO 65203

1780 Old Highway 50 E
Ste 102
Union, MO 63084
Phone (636) 583-1611

8668 John Hickman Pkwy
Ste 301
Frisco, TX 75034

790 Generations Dr
Ste 210
New Braunfels, TX 78130
Phone (210) 445-6778

11212 State Highway 151
Ste 120
San Antonio, TX 78251
Phone (210) 290-8350

2411 NE Loop 410
Ste 114
San Antonio, TX 78217

2003 Rogers Rd
Ste 106
San Antonio, TX 78251
Phone (210) 375-5000

2411 NE Loop 410
Ste 112
San Antonio, TX 78217
Phone (210) 298-3108

Interoperability endpoints

  • Direct secure messaging: femipopoola@tdh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1417307380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 NE LOOP 410 STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176600",
            "telephone_number": "210-868-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 NE LOOP 410 STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176600",
            "telephone_number": "210-868-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11212 State Highway 151 Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514498",
            "country_code": "US",
            "telephone_number": "210-868-5801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Generations Dr",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781300086",
            "country_code": "US",
            "telephone_number": "210-868-5801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016584",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Community",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MO",
            "postal_code": "647358804",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPOOLA",
        "first_name": "FEMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2019024574",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2016016406",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T0317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.