MARK J POPOVICH M.D.
NPI 1245320704
Radiology - Diagnostic Radiology in Santa Rosa, CA

Active since October 13, 2006PECOS Enrolled
3883 AIRWAY DR STE 100, SANTA ROSA, CA 95403(707) 521-4480(707) 521-4460 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark J Popovich M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK J POPOVICH M.D. (NPI 1245320704) is an individual diagnostic radiology provider in Santa Rosa, California, licensed in California (G57995) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1245320704
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK J POPOVICHCredential: M.D.
Location Address3883 AIRWAY DR STE 100Santa Rosa, CA 95403-1672
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (707) 521-4480 · Fax (707) 521-4460
Fax(707) 521-4460
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateAugust 26, 2019
NPI 1245320704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G57995
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License G57995 (CA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License G57995 (CA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License G57995 (CA)
3883 AIRWAY DR STE 100, Santa Rosa, CA 95403

Secondary Practice Location 1

Location 12455 Summerfield RdSanta Rosa, CA 95405-7815 · Phone (707) 523-2666 · Fax (707) 523-3399

Other Identifiers 3

Other473423CA · American Board Of Radiology
Medicaid00G579950CA
OtherG57995CA · State Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark J Popovich M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
3883 AIRWAY DR STE 100
SANTA ROSA, CA 95403
Radiology (Diagnostic Radiology)
3883 AIRWAY DR STE 100
SANTA ROSA, CA 95403
Radiology (Diagnostic Radiology)
3883 AIRWAY DR STE 100
SANTA ROSA, CA 95403
Radiology (Diagnostic Radiology)
3883 AIRWAY DR STE 100
SANTA ROSA, CA 95403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Popovich's NPI number?

The NPI number for Mark Popovich is 1245320704. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Mark Popovich located?

Mark Popovich practices at 3883 Airway Dr Ste 100, Santa Rosa, CA 95403. The listed phone number is (707) 521-4480.

What is Mark Popovich's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Popovich enrolled in Medicare?

Yes. Mark Popovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Popovich was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.