Individual provider Active NPI

Nicholas Anthony Poponea, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1538579776
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
010622 Issued in AZ
Practice address
1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone
(602) 532-1000
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T1811 TX
Pulmonary Disease Physician 207RP1001X 010622 AZ
Pulmonary Disease Physician 207RP1001X 73690 WI
Internal Medicine Physician 207R00000X 5101021107 MI
Internal Medicine Physician 207R00000X 010622 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 3950 WV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 010622 AZ Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 73690 WI
Internal Medicine Physician 207R00000X 3950 WV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 93087 GA
Pulmonary Disease Physician 207RP1001X 3950 WV
Pulmonary Disease Physician 207RP1001X T1811 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X T1811 TX

Addresses

Primary practice location

1930 E Thomas Rd
Phoenix, AZ 85016-7711

Mailing address

5151 E Broadway Rd Ste 107
Mesa, AZ 85206-1346
Phone (480) 290-7000

Other practice location 1

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 681-8577

Other practice location 2

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 3

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-4717

Other practice location 4

5151 E Broadway Rd Ste 107
Mesa, AZ 85206-1346
Phone (480) 290-7000

Other identifiers 1

IdentifierTypeStateIssuer
1538579776MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, ND, TX, OH, WV, AZ, CO8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20160615000110 MI Practitioner - Internal Medicine 5092935163 Reassigns benefits to 2 organizations
I20200805000199 WI Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5092935163 Reassigns benefits to 3 organizations
I20201113001036 ND Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5092935163 Reassigns benefits to 1 organization
I20220217002163 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5092935163 Reassigns benefits to 1 organization
I20221207001695 OH Practitioner - Internal Medicine 5092935163 Reassigns benefits to 1 organization
I20230206002470 WV Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5092935163 Reassigns benefits to 1 organization
I20230919002072 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5092935163 Reassigns benefits to 4 organizations
I20260204004597 CO Practitioner - Internal Medicine 5092935163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Observation Medicine Services of Colorado Inc.Group PAC ID 9133498074, 73 clinicians
Arizona Acute Medical Services 1 PCGroup PAC ID 6204113970, 49 clinicians
St. Joseph'S Hospital and Medical CenterGroup PAC ID 6709863178, 23 clinicians
Arizona Pulmonary Specialists LTDGroup PAC ID 7618863192, 44 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

9060 E Via Linda
Suite 250
Scottsdale, AZ 85258-5425
Phone (602) 261-7830

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3950WVMDOrthodontics and Dentofacial Orthopedic Dentist
5101021107MIMDInternal Medicine Physician
T1811TXMDPulmonary Disease Physician
73690WIMDPulmonary Disease Physician
4998TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Oct 27, 2022 Accepting new patients
Arizona Pulmonary Specialists LTD Critical Care Medicine CurrentSince Nov 1, 2023 Accepting new patients
Allen Intensivist Group LLC Critical Care Medicine CurrentSince Nov 1, 2022 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Apr 23, 2025 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Jun 5, 2023 Accepting new patients
Lakeside Urgent Care, P. C. Internal Medicine Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 5, 2023 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Aug 6, 2020 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Feb 1, 2026 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 27, 2022 Accepting new patients
Butte Des Morts Pathology, S.C. Current Accepting new patients
Lakeside Urgent Care, P.C. Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine Current Accepting new patients
Oxford Urgent Care P L C CurrentSince Jun 1, 2016 Accepting new patients
St Alexius Medical Center CurrentSince Nov 9, 2020 Accepting new patients
St. Alexius Medical Center CurrentSince Nov 9, 2020 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jul 29, 2022 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Critical Care Medicine CurrentSince Jan 27, 2026 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Aug 6, 2020 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jul 29, 2022 Accepting new patients
Pulmonary Associates, PA Pulmonary Disease CurrentSince Jul 4, 2026 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jan 27, 2026 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Jul 20, 2021 Accepting new patients
Telemed Consultants PLLC Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 27)

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5151 E Broadway Rd
Ste 107
Mesa, AZ 85206
Phone (480) 290-7000

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3330 N 2nd St
Ste 300
Phoenix, AZ 85012
Phone (602) 261-7830

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

9060 E Via Linda
Scottsdale, AZ 85258
Phone (480) 551-8627

9060 E Via Linda
Ste 250
Scottsdale, AZ 85258
Phone (480) 614-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

File 56765
Los Angeles, CA 90074

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

130 2nd St
Ste 197
Neenah, WI 54956
Phone (920) 729-2030

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: npoponea794464@direct.centracare.com
  • Direct secure messaging: nicholas.poponea@azpulm.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/19484/brand/1/csg/1/fhir/r4
  • Direct secure messaging: npoponea543230@direct.hfhs.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 9

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1538579776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-290-7000",
            "fax_number": "480-325-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167711",
            "telephone_number": "602-532-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3269 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093619",
            "country_code": "US",
            "telephone_number": "928-681-8577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064622",
            "country_code": "US",
            "telephone_number": "602-865-4717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 E Broadway Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061346",
            "country_code": "US",
            "telephone_number": "480-290-7000",
            "fax_number": "480-325-3461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPONEA",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T1811",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "010622",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "73690",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101021107",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "010622",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WV",
            "license": "3950",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "010622",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "73690",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "3950",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "93087",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "3950",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "T1811",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "T1811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538579776",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.