Active NPI
Stephen E Popielec, PA
- Physician Assistant
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 756
- Practice address
- 9600 Broadway Ext
Oklahoma City, OK 73114-7408 - Phone
- (405) 230-9000
- Fax
- (405) 230-9157
- NPI assigned
- Feb 6, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 756 | OK | Primary |
Addresses
Primary practice location
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Mailing address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone (405) 230-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00344412 | Other | OK | RAILROAD MEDICARE |
| 100061300A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
5200 E I 240 Service Rd
Suite 330
Oklahoma City, OK 73135-2607
Phone (405) 755-4290
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
- Mercy Hospital Logan County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 756 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Orthopaedic Specialists, P.L.L.C. | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1659413649
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1669559720
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1801868765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPIELEC",
"first_name": "STEPHEN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00344412",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100061300A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.