Active NPI
Addiction Medicine Consultants of Richmond LLC
- Addiction Medicine (Preventive Medicine) Physician
- Richmond, VA
National Provider Identifier
1750161576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- ADDICTION MEDICINE CONSULTANTS OF RICHMOND LLC
- Practice address
- 3702 Crestview Rd
Richmond, VA 23223-8108 - Phone
- (804) 251-1645
- Fax
- (804) 251-4463
- NPI assigned
- Sep 29, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Stephen J Popovich, MD
- Title
- Owner/Provider
- Phone
- (804) 251-1645
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Preventive Medicine) Physician
- Richmond, VA
- NPI 1346569456
Addiction Medicine, VA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240108000735 | VA | Part B Supplier - Clinic/Group Practice | 6901257617 |
Receives reassigned benefits from 1 practitioner Practice locations: Richmond, VA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3702 Crestview Rd
Richmond, VA 23223-8108
Mailing address
3702 Crestview Rd
Richmond, VA 23223-8108
Phone (804) 251-1645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2023.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1750161576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 CRESTVIEW RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232238108",
"telephone_number": "804-251-1645",
"fax_number": "804-251-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 CRESTVIEW RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232238108",
"telephone_number": "804-251-1645",
"fax_number": "804-251-4463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDICTION MEDICINE CONSULTANTS OF RICHMOND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "POPOVICH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "804-251-1645",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083A0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.