Active NPI
Ofelia Zoe Popluca, M.D.
- Internal Medicine Physician
- Sun City West, AZ
National Provider Identifier
1477593887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- AZ22542
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215782 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Banner del E. Webb Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ22542 | AZ | MD | Internal Medicine Physician |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- Home Health Agency
- Sun City West, AZ
- NPI 1376782987
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.