Active NPI
Michael Popoko, PA-C
- Surgical Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C0005140
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5216 - Phone
- (443) 231-8405
- NPI assigned
- Sep 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C0005140 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Mailing address
6315 Magdolena Rd
Rosedale, MD 21237-2039
Phone (443) 231-8405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0005140 | MD | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquil Interventions, PC | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Northwest Hospital Center, Inc | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075
2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547
2401 W Belvedere Ave
Baltimore, MD 21215
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
Organizations & group practices 14
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.
-
dba NW Breast Care Ctr,Hospitalist,PA, SHS Plastics,Surgical House Staff
- Hospitalist Physician
- Randallstown, MD
- NPI 1508961988
-
- Surgical Oncology Physician
- Baltimore, MD
- NPI 1073880183
-
- Behavioral Neurology & Neuropsychiatry Physician
- Fairfax, VA
- NPI 1619815602
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1093003550
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
-
- Vascular & Interventional Radiology Physician
- Baltimore, MD
- NPI 1568548329
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1447685920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6315 MAGDOLENA RD",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212372039",
"telephone_number": "443-231-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "443-231-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOKO",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C0005140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.