Active NPI
Richard D. Kopke, M.D.
- Otology & Neurotology Physician
- Oklahoma City, OK
National Provider Identifier
1013014091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 23693
- Practice address
- 3400 NW 56TH St
Oklahoma City, OK 73112-4463 - Phone
- (405) 946-5563
- Fax
- (405) 947-6226
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 23693 | OK | Primary |
Addresses
Primary practice location
3400 NW 56TH St
Oklahoma City, OK 73112-4463
Mailing address
3400 NW 56TH St
Oklahoma City, OK 73112-4463
Phone (405) 946-5563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040511000877 | OK | Practitioner - Otolaryngology | 8123017480 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otologic Medical Clinic, Inc. | Otology & Neurotology | Current | Accepting new patients |
| Hough Ear Hearing and Speech Center Inc. | Past | Accepting new patients |
Locations
3400 NW 56th St
Oklahoma City, OK 73112
Phone (405) 946-5563
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Oklahoma City, OK
- NPI 1508217217
-
- Otology & Neurotology Physician
- Oklahoma City, OK
- NPI 1407984693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013014091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 NW 56TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124463",
"telephone_number": "405-946-5563",
"fax_number": "405-947-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NW 56TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124463",
"telephone_number": "405-946-5563",
"fax_number": "405-947-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPKE",
"first_name": "RICHARD",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "OK",
"license": "23693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.