Active NPI
Dimtcho V Popov, MD
- Nephrology Physician
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 343543
- Practice address
- 711 Wood St Ste a
Monroe, LA 71201-7564 - Phone
- (318) 323-8847
- Fax
- (318) 387-8804
- NPI assigned
- Jul 18, 2005
- Last updated
- Jul 10, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 343543 | LA | Primary |
Addresses
Primary practice location
711 Wood St Ste a
Monroe, LA 71201-7564
Mailing address
3368 Highway 280
Suite G-10
Alexander City, AL 35010-3393
Phone (256) 409-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529917040 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
711 Wood St a
Monroe, LA 71201-7549
Phone (318) 323-8847
Hospital & facility affiliations
- Fmcna - Richland Parish
- Fmol Health St Francis
- Glenwood Regional Medical Center
- Franklin Medical Center
- Ashley County Medical Center
- Morehouse General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20515 | AZ | MD | Counselor |
| 343543 | LA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex City Internal Medicine & Nephrology | Specialist | Current | Accepting new patients |
| Northeast Louisiana Kidney Specialists,LLC | Nephrology | Current | Accepting new patients |
| Selma Nephrology Associates, PA | Nephrology | Past | Accepting new patients |
| Fayette Medical Center | Past | Accepting new patients |
Locations
3368 Highway 280
Ste 220
Alexander City, AL 35010
Phone (256) 409-1500
120 S Anniston Ave
Ste 124
Sylacauga, AL 35150
Phone (256) 409-1500
711 Wood St
Ste A
Monroe, LA 71201
Phone (318) 323-8847
Interoperability endpoints
- dpopov5339014@direct.casso.us.com
- https://api.platform.athenahealth.com/26569/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Monroe, LA
- NPI 1568413185
-
- Specialist
- Alexander City, AL
- NPI 1427188119
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
-
- Nephrology Physician
- Selma, AL
- NPI 1316913445
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Richland Parish
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rayville, LA
- NPI 1710128962
Dialysis facility
-
dba Franklin Medical Center
- Rural Acute Care Hospital
- Winnsboro, LA
- NPI 1356399539
-
- General Acute Care Hospital
- West Monroe, LA
- NPI 1548083421
-
- General Acute Care Hospital
- Bastrop, LA
- NPI 1003898313
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
-
dba Ashley County Medical Center
- Critical Access Hospital
- Crossett, AR
- NPI 1952308215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1740289230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3368 HIGHWAY 280",
"address_2": "SUITE G-10",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350103393",
"telephone_number": "256-409-1500",
"fax_number": "256-409-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 WOOD ST STE A",
"city": "MONROE",
"state": "LA",
"postal_code": "712017564",
"telephone_number": "318-323-8847",
"fax_number": "318-387-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOV",
"first_name": "DIMTCHO",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "343543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529917040",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.