Individual provider Active NPI

Mihailo Popovic, MD

  • Urology Physician
  • Harrisburg, PA
National Provider Identifier
1467680421
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD490825 Issued in PA
Practice address
815 Sir Thomas CT Ste 200
Harrisburg, PA 17109-4839
Phone
(717) 724-0720
Fax
(717) 724-0730
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD490825 PA Primary
Surgery Physician 208600000X 4301094879 MI
Urology Physician 208800000X 2015-02055 NC

Addresses

Primary practice location

815 Sir Thomas CT Ste 200
Harrisburg, PA 17109-4839

Mailing address

815 Sir Thomas CT Ste 200
Harrisburg, PA 17109-4839
Phone (717) 724-0720

Other practice location 1

815 Oakridge Blvd
Lumberton, NC 28358-2330
Phone (910) 738-7166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250827000593 PA Practitioner - Urology 2365742764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

815 Sir Thomas CT
Suite 200
Harrisburg, PA 17109-4839
Phone (717) 724-0720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.3 of 100Reported as individual
Quality
73.63
Improvement activities
40
Cost
75.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094879MIMDSurgery Physician
MD490825PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2025 Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

815 Sir Thomas Ct
Ste 200
Harrisburg, PA 17109
Phone (717) 724-0720

Interoperability endpoints

  • Direct secure messaging: mihailo.popovic@mmhs.medicity.net

Organizations & group practices 3

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 12

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1467680421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SIR THOMAS CT STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-724-0720",
            "fax_number": "717-724-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SIR THOMAS CT STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-724-0720",
            "fax_number": "717-724-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Oakridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582330",
            "country_code": "US",
            "telephone_number": "910-738-7166",
            "fax_number": "910-738-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPOVIC",
        "first_name": "MIHAILO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD490825",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301094879",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2015-02055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.