Matthew Craig Popkin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME78747 Issued in FL

Practice address

466 Hollywood Mall
Hollywood, FL 33021-6932

Phone

(954) 981-4355

Fax

(954) 981-8311

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Total Healthcare IncGroup PAC ID 8022058346, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

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.

• Premier Total Healthcare Inc

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1508969536
  Medicare reassignment Care Compare group NPD
• Northwest Wellness Center, Inc

  • Internal Medicine Physician
  • Margate, FL
  • NPI 1437487352
  NPD (past) Authorized official
• Care Medical Centers Inc

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1124216122
  NPD (past)
• Pathema GX2 LLC

  • Clinical Medical Laboratory
  • Sunrise, FL
  • NPI 1790390003
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932254802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MADISON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205527",
            "telephone_number": "954-927-5575",
            "fax_number": "954-929-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 HOLLYWOOD MALL",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216932",
            "telephone_number": "954-981-4355",
            "fax_number": "954-981-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKIN",
        "first_name": "MATTHEW",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35741",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Wanda Poniecka, M.D.
• Kerantha Poole-Christian, MA, SLP
• Kenneth Kehn-Yao Poon, MD
• Jessica Popham, LMFT
• Yojebed Popiol
• Tarah Joy Popp, M.D.
• Noelis Porras Sanchez
• Amanda Alison Porro, MD
• Melvys Portillo Hernandez
• Portland-Head Services Inc.

• Specialist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.