Active NPI
Gabriele Popp, MD
- Internal Medicine Physician
- Weathersfield, VT
National Provider Identifier
1821011032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11220
- Practice address
- 394 Skyline Drive
Weathersfield, VT 05156 - Phone
- (802) 885-2924
- NPI assigned
- Jul 26, 2006
- Last updated
- Dec 11, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11220 | NH | Primary |
Addresses
Primary practice location
394 Skyline Drive
Weathersfield, VT 05156
Mailing address
394 Skyline Drive
Weathersfield, VT 05156
Phone (802) 885-2924
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0RE6227 | Medicaid | VT | |
| 30201350 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1821011032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 SKYLINE DRIVE",
"city": "WEATHERSFIELD",
"state": "VT",
"postal_code": "05156",
"telephone_number": "802-885-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 SKYLINE DRIVE",
"city": "WEATHERSFIELD",
"state": "VT",
"postal_code": "05156",
"telephone_number": "802-885-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPP",
"first_name": "GABRIELE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "11220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0RE6227",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30201350",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.