Individual provider Active NPI

William James Popovic, MD

  • Medical Oncology Physician
  • Shiloh, IL
National Provider Identifier
1609824549
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036060456 Issued in IL
Practice address
1418 Cross St
Div Im Medical Oncology, Ste 180
Shiloh, IL 62269-2914
Phone
(618) 607-1340
Fax
(618) 622-9724
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036060456 IL
Medical Oncology Physician 207RX0202X 036060456 IL Primary

Addresses

Primary practice location

1418 Cross St
Div Im Medical Oncology, Ste 180
Shiloh, IL 62269-2914

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 607-1340

Other identifiers 1

IdentifierTypeStateIssuer
200058084MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20101103001175 IL Practitioner - Medical OncologyPractitioner - Hematology/Oncology 6406876622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as group
Quality
76.14
Promoting interoperability
99
Improvement activities
40
Cost
76.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Physicians in Illinois, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Feb 1, 2018 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients

Locations

1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340

4000 N Illinois Ln
Ste C
Swansea, IL 62226
Phone (618) 233-8000

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

4000 N Illinois Ln
Ste B
Swansea, IL 62226
Phone (618) 236-1000

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1609824549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "618-607-1340",
            "fax_number": "618-622-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 CROSS ST",
            "address_2": "DIV IM MEDICAL ONCOLOGY, STE 180",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692914",
            "telephone_number": "618-607-1340",
            "fax_number": "618-622-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVIC",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036060456",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036060456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200058084",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1418 Cross St",
            "address_2": "Div IM Medical Oncology, Ste 180",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.