Individual provider Active NPI

John Philip Popovec, D.O.

  • Internal Medicine Physician
  • Boardman, OH
National Provider Identifier
1942250311
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34002550 Issued in OH
Practice address
250 Debartolo PL
Suite 1620
Boardman, OH 44512-7004
Phone
(330) 758-7312
Fax
(330) 758-0053
NPI assigned
May 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34002550 OH Primary

Addresses

Primary practice location

250 Debartolo PL
Suite 1620
Boardman, OH 44512-7004

Mailing address

250 Debartolo PL
Suite 1620
Boardman, OH 44512-7004
Phone (330) 758-7312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112001286 OH Practitioner - Internal Medicine 0547455735 Practice locations: Boardman, OH; Youngstown, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34002550OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Youngstown Internal Medicine, L.L.C. 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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942250311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 1620",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-758-7312",
            "fax_number": "330-758-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 1620",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-758-7312",
            "fax_number": "330-758-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVEC",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34002550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.