Individual provider Active NPI

Bryan G Popovici, DPM

  • Podiatrist
  • Liverpool, NY
National Provider Identifier
1508834524
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003830-1 Issued in NY
Practice address
7304 Oswego Rd
Liverpool, NY 13090-3718
Phone
(315) 451-8256
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003830-1 NY Primary

Addresses

Primary practice location

7304 Oswego Rd
Liverpool, NY 13090-3718

Mailing address

7304 Oswego Rd
Liverpool, NY 13090-3718
Phone (315) 451-8256

Other identifiers 2

IdentifierTypeStateIssuer
00920594MedicaidNY
161378883OtherNYFEDERAL EMP. ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000422 NY Practitioner - Podiatry 3779555180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7304 Oswego Rd
Liverpool, NY 13090-3718
Phone (315) 451-8256

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as individual
Quality
67.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions1-10
Removal of nail tissue811
Removal or shaving of skin growth612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003830-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan G. Popovici, DPM, PC Podiatrist CurrentSince Apr 1, 1990 Accepting new patients

Locations

7304 Oswego Rd
Liverpool, NY 13090
Phone (315) 451-8256

618 State St
Watertown, NY 13601
Phone (315) 782-0026

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1508834524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903718",
            "telephone_number": "315-451-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903718",
            "telephone_number": "315-451-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICI",
        "first_name": "BRYAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003830-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00920594",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL EMP. ID",
            "identifier": "161378883",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.