Keith J Popovich, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

6636 Issued in MT

Practice address

505 W Park St
Suite a
Butte, MT 59701-9106

Phone

(406) 782-8988

Fax

(406) 782-6243

NPI assigned

Jul 6, 2006

Last updated

Jul 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.popovich@tsmh.medicity.net

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.

• Community Hospital of Anaconda

  • Critical Access Hospital
  • Anaconda, MT
  • NPI 1205887924
  Medicare reassignment NPD
• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment NPD
• High Country Lung & Sleep Disorders Clinic, PC

  • Pulmonary Disease Physician
  • Butte, MT
  • NPI 1184969842
  Authorized official Same address or phone
• Keith J. Popovich, M.D., PLLC

  • Pulmonary Disease Physician
  • Butte, MT
  • NPI 1629275425
  NPD (past) Authorized official
• Big Sky Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Butte, MT
  • NPI 1588617104
  NPD
• SCL Health Medical Group-Butte LLC

  dba Boulder Clinic - Family Medicine

  • Rural Health Clinic/Center
  • Boulder, MT
  • NPI 1861031122
  NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1467483412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W PARK ST",
            "address_2": "SUITE A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019106",
            "telephone_number": "406-782-8988",
            "fax_number": "406-782-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W PARK ST",
            "address_2": "SUITE A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019106",
            "telephone_number": "406-782-8988",
            "fax_number": "406-782-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICH",
        "first_name": "KEITH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MT",
            "license": "6636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0000000031",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9989135",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108375",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Rose Pierce, LCSW
• Jennifer Lynn Pierce, M.SC., CCC-SLP
• Arika Pochervina
• Mary Pochervina, RPH
• Catherine Scott Pokorny, P.A.-C
• Braxton Porter
• Amanda Powers
• Shawn Francis Powers, RPH
• Premise Health of Montana Medical PC (Butte Montana Health Center)
• Lynn Marie Price

• Pulmonary Disease Physician in Butte, MT
• Providers in Butte, MT by specialty
• Pulmonary Disease Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.

Verify at the official NPI Registry.