Individual provider Active NPI

Daniel Ari Popowich, MD

  • Surgery Physician
  • Greenvale, NY
National Provider Identifier
1578766838
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
260854 Issued in NY
Practice address
2200 Northern Blvd Ste 125
Greenvale, NY 11548-1221
Phone
(516) 627-5262
Fax
(516) 627-0641
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 260854 NY Primary

Addresses

Primary practice location

2200 Northern Blvd Ste 125
Greenvale, NY 11548-1221

Mailing address

2200 Northern Blvd Ste 125
Greenvale, NY 11548-1221
Phone (516) 627-5262

Other practice location 1

12 Greenridge Ave Ste 301
White Plains, NY 10605-1238
Phone (516) 627-5262

Other practice location 2

485 Madison Ave Fl 21
New York, NY 10022-5812
Phone (212) 265-5000

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140425000783 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2062686967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

2200 Northern Blvd
Suite 125
Greenvale, NY 11548-1221
Phone (516) 627-5262

400 Montauk Hwy
Suite 107
Islip, NY 11751-3412
Phone (631) 396-7026

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair (minimally invasive)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Apr 25, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Jul 1, 2018 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2018 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2026 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
St. Francis Hospital Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

2200 Northern Blvd
Ste 125
Greenvale, NY 11548

400 Montauk Hwy
Ste 107
Islip, NY 11751
Phone (631) 396-7026

201 E 93rd St
New York, NY 10128
Phone (917) 281-0100

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

485 Madison Ave
Fl 21
New York, NY 10022
Phone (212) 265-5000

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: dpopowich117375@direct-chsli.net
  • FHIR API: https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4

Organizations & group practices 8

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 4

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1578766838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 125",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481221",
            "telephone_number": "516-627-5262",
            "fax_number": "516-627-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 125",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481221",
            "telephone_number": "516-627-5262",
            "fax_number": "516-627-0641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Greenridge Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106051238",
            "country_code": "US",
            "telephone_number": "516-627-5262",
            "fax_number": "516-627-0641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "485 Madison Ave Fl 21",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100225812",
            "country_code": "US",
            "telephone_number": "212-265-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPOWICH",
        "first_name": "DANIEL",
        "middle_name": "ARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "260854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

Verify at the official NPI Registry.