Michelle Rachel Popkin, MD

Individual provider Active NPI Emergency Medicine Physician · Mount Kisco, NY

NPI 1699067660 · NPPES record last updated Mar 10, 2017

Key facts

NPI
1699067660
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
278886 (NY)
Practice address
400 E Main St
Mount Kisco, NY 10549-3417
Phone
(914) 666-1254
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Emergency Medicine
Also: Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PC (6,374 clinicians)

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058

Hospital & facility affiliations

  • Northern Westchester Hospital Hospital · Mount Kisco, NY · CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100 (apm)
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160325000651 NY Practitioner - Emergency Medicine
Practitioner - Hospitalist
9931406535 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
278886NYMDEmergency Medicine Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Emergency Medicine Current
since Aug 28, 2017
Accepting new patients
Northern Westchester Hospital Association Current Accepting new patients
Northern Westchester Hospital Association Emergency Medicine Current
since Jul 21, 2016
Accepting new patients
Northern Westchester Hospital Association Current
since Jul 21, 2016
Accepting new patients

Locations

400 E Main St
Fl 4
Mount Kisco, NY 10549
Phone (914) 242-8318

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: mpopkin65280@northwell.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 278886 NY Yes

Addresses

Primary practice location

400 E Main St
Mount Kisco, NY 10549-3417

Mailing address

400 E Main St
Mount Kisco, NY 10549-3417

Other names

  • Dr. Michelle Rachel Gold Former name

Other providers in Mount Kisco, NY

All providers in Mount Kisco, NY · Emergency Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.