Active NPI
David M Poppel, MD
- Nephrology Physician
- Springfield, MA
National Provider Identifier
1992787659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 49681
- Practice address
- 100 Wason Ave
Suite 200
Springfield, MA 01107-1119 - Phone
- (413) 733-9666
- Fax
- (413) 750-3432
- NPI assigned
- Nov 17, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 49681 | MA | Primary |
| Nephrology Physician | 207RN0300X | 025574 | CT |
Addresses
Primary practice location
100 Wason Ave
Suite 200
Springfield, MA 01107-1119
Mailing address
PO Box 70266
Springfield, MA 01107-1577
Phone (413) 788-6530
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6172512 | Medicaid | MA | |
| 0031000063 | Medicaid | CT | |
| 02914267 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1992787659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70266",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071577",
"telephone_number": "413-788-6530",
"fax_number": "413-750-8027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASON AVE",
"address_2": "SUITE 200",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071119",
"telephone_number": "413-733-9666",
"fax_number": "413-750-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPEL",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "49681",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "025574",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6172512",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0031000063",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02914267",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.