Active NPI
Mariam Popal, DPM
- Foot & Ankle Surgery Podiatrist
- Shiprock, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103300999
- Practice address
- US Hwy 491 North
Shiprock, NM 87420-0160 - Phone
- (505) 368-6001
- NPI assigned
- May 13, 2008
- Last updated
- Aug 16, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103300999 | VA | Primary |
Addresses
Primary practice location
US Hwy 491 North
Shiprock, NM 87420-0160
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103300999 | Other | VA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Highway 491
Shiprock, NM 87420-0160
Phone 50536860016401
P O Box
160 Attn Business Office
Shiprock, NM 87420-0160
PO Box
Suite 160
Shiprock, NM 87420-0160
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 74.27
- Improvement activities
- 40
- Cost
- 78.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 27 |
| Removal of nail tissue | 126 |
| Removal or shaving of skin growth | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103300999 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
TX
-
- General Acute Care Hospital
- Teec Nos Pos, AZ
- NPI 1477615789
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanostee, NM
- NPI 1083839476
-
dba Dzilth-Na-O-Dith-Hle Health Center
- General Acute Care Hospital
- Bloomfield, NM
- NPI 1760427587
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
-
- General Acute Care Hospital
- Toadlena, NM
- NPI 1952526337
-
- General Acute Care Hospital
- Teec Nos Pos, AZ
- NPI 1477615789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1801063573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874200160",
"telephone_number": "505-368-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HWY 491 NORTH",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874200160",
"telephone_number": "505-368-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPAL",
"first_name": "MARIAM",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103300999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0103300999",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shiprock, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.