Active NPI
Vicki Vrana Popejoy, M.D.
- Pediatrics Physician
- Waco, TX
National Provider Identifier
1588625990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M1295
- Practice address
- 120 Hillcrest Medical Blvd Ste 100
Waco, TX 76712-8949 - Phone
- (254) 202-6100
- Fax
- (254) 202-6195
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M1295 | TX | Primary |
Addresses
Primary practice location
120 Hillcrest Medical Blvd Ste 100
Waco, TX 76712-8949
Mailing address
PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1751331-02 | Other | TX | CSHCN |
| 1751331-01 | Medicaid | TX | |
| 8S1849 | Other | TX | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vpopejoy44687@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Family Health Center | Pediatrics | Current | Accepting new patients |
| Soheil Hekmat, MD, Inc. | Past | Accepting new patients |
Locations
851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500
120 Hillcrest Medical Blvd
Ste 100
Waco, TX 76712
Phone (254) 202-6100
4547 Lake Shore Dr
Waco, TX 76710
Phone (254) 202-4650
Interoperability endpoints
- vpopejoy44687@direct.sw.org
Organizations & group practices 2
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": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1588625990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848476",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848476",
"telephone_number": "254-202-4655",
"fax_number": "254-202-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HILLCREST MEDICAL BLVD STE 100",
"city": "WACO",
"state": "TX",
"postal_code": "767128949",
"telephone_number": "254-202-6100",
"fax_number": "254-202-6195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPEJOY",
"first_name": "VICKI",
"middle_name": "VRANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M1295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "1751331-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1751331-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8S1849",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vpopejoy44687@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 Hillcrest Medical Blvd Ste 100",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128949",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.