STEPHEN G POPHAL
NPI 1629000963
Pediatrics - Pediatric Cardiology in Chicago, IL

Q: What is Stephen Pophal's NPI number?

The NPI number for Stephen Pophal is 1629000963. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Stephen Pophal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Pophal was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Apr 18, 2022 and 1 more (4 updates tracked since 2018).

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About Stephen G Pophal NPPES

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

STEPHEN G POPHAL (NPI 1629000963) is an individual pediatric cardiology provider in Chicago, Illinois, licensed in Illinois (036095456) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1991).

NPPES Registry Identity

NPI1629000963

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameSTEPHEN G POPHAL

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr, Suite 300Burr Ridge, IL 60527-5919

Phone(888) 824-0200

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1991

Enumeration DateJuly 7, 2006

Last NPPES UpdateOctober 24, 20224 updates tracked since enumeration

✔ NPI 1629000963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in IL · 036095456

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

5841 S MARYLAND AVE, Chicago, IL 60637

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen G Pophal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658362710

PECOS Enrollment IDI20040519000532

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.

Other Providers at the Same Location NPPES 20

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

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