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DR. SANDY POPHAM MD NPI 1043269228


NPI Information

NPI: 1043269228
Provider Name: DR. SANDY POPHAM, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: ST LUKES HOSPITAL OF DULUTH

PECOS Registration: Yes

Address:
1001 E SUPERIOR ST STE L201
DULUTH, MN
ZIP 55802
Phone: (218) 249-7980
Get Directions

DR. Sandy Popham, MD is a nephrology internal medicine in Duluth, MN with 35 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Sandy Popham, MD NPI is 1043269228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1989

The provider's business location address is:

1001 E SUPERIOR ST STE L201
DULUTH, MN
ZIP 55802-207
Phone: (218) 249-7980
Fax: (218) 249-7911

The NPI 1043269228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urinalysis, manual test (HCPCS:81002)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)

The enumeration date for this NPI number is 5/8/2006 and was last updated on 1/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist35304MINNESOTANo
2207RN0300XInternal MedicineNephrology35304MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104N96P0OTHERMINNESOTABLUE CROSS BLUE SHIELD
23100318OTHERMINNESOTAMEDICA
332439700MEDICAIDWISCONSIN
4476323800MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.