Individual provider Active NPI

Claudia Monica Pop, M.D.

  • Family Medicine Physician
  • Clinton TWP, MI
National Provider Identifier
1861597858
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301082665 Issued in MI
Practice address
15501 Metropolitan Pkwy
Ste 110
Clinton TWP, MI 48036-1684
Phone
(586) 286-9720
Fax
(586) 286-3134
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301082665 MI Primary

Addresses

Primary practice location

15501 Metropolitan Pkwy
Ste 110
Clinton TWP, MI 48036-1684

Mailing address

15501 Metropolitan Pkwy
Ste 110
Clinton TWP, MI 48036-1684
Phone (586) 286-9720

Other identifiers 1

IdentifierTypeStateIssuer
0G41056OtherMIBCBS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000107 MI Practitioner - Family Practice 1759388010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith C McKenzie MD PLLCGroup PAC ID 1658337472, 4 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

15501 Metropolitan Pkwy
Suite 110
Clinton Township, MI 48036-1684
Phone 5862869720126

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301082665MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keith C McKenzie MD PLLC Family Medicine CurrentSince Jun 1, 2014 Accepting new patients
Family Doctors Family Medicine PastSince Jun 1, 2014 Accepting new patients

Locations

15501 Metropolitan Pkwy
Ste 110
Clinton Twp, MI 48036
Phone (586) 286-9720

Interoperability endpoints

  • Direct secure messaging: cpop951629@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1861597858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "STE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-286-9720",
            "fax_number": "586-286-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "STE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-286-9720",
            "fax_number": "586-286-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POP",
        "first_name": "CLAUDIA",
        "middle_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0G41056",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.