Individual provider Active NPI

Vicki Vrana Popejoy, M.D.

  • Pediatrics Physician
  • Waco, TX
National Provider Identifier
1588625990
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M1295 Issued in TX
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

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1751331-02OtherTXCSHCN
1751331-01MedicaidTX
8S1849OtherTXBLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050827000094 TX Practitioner - Pediatric Medicine 8729019922 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Family Health Center Pediatrics CurrentSince May 5, 2016 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.