Organization Active NPI

Addiction Medicine Consultants of Richmond LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Richmond, VA
National Provider Identifier
1750161576
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
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, MDNPI 1346569456
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240108000735 VA Part B Supplier - Clinic/Group Practice 6901257617 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083A0300X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.