Individual provider Active NPI

Ofelia Zoe Popluca, M.D.

  • Internal Medicine Physician
  • Sun City West, AZ
National Provider Identifier
1477593887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AZ22542 Issued in AZ
Practice address
14300 W Granite Valley Dr
Suite D19
Sun City West, AZ 85375-5783
Phone
(623) 584-0203
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AZ22542 AZ Primary

Addresses

Primary practice location

14300 W Granite Valley Dr
Suite D19
Sun City West, AZ 85375-5783

Mailing address

1625 E Kathleen Rd
Phoenix, AZ 85022-3368

Other identifiers 1

IdentifierTypeStateIssuer
215782MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051103000321 AZ Practitioner - Internal Medicine 8729006234 Practice locations: Sun City West, AZ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14300 W Granite Valley Dr
Sun City West, AZ 85375-5798
Phone (623) 584-0203

Hospital & facility affiliations

  • Angels Care Home Health of Beech Home health agency, Sun City West, AZ, CCN 037413
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ22542AZMDInternal Medicine Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFHCA/Endpoint/DBFHCA

Hospital & facility affiliations 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477593887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E KATHLEEN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR",
            "address_2": "SUITE D19",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755783",
            "telephone_number": "623-584-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLUCA",
        "first_name": "OFELIA",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "AZ22542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215782",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.