Individual provider Active NPI

Nikolay Z. Tchopev, M.D.

  • Pediatrics Physician
  • Ellicott City, MD
National Provider Identifier
1023010394
Registry record updated Mar 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0065507 Issued in MD
Practice address
5328 Dunteachin Dr
Ellicott City, MD 21043-8204
Phone
(410) 350-1090
Fax
(855) 543-4914
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0065507 MD
Pediatrics Physician 208000000X D0065507 MD Primary

Addresses

Primary practice location

5328 Dunteachin Dr
Ellicott City, MD 21043-8204

Mailing address

5328 Dunteachin Dr
Ellicott City, MD 21043-8204
Phone (410) 350-1090

Other identifiers 2

IdentifierTypeStateIssuer
4726012MedicaidMD
4726012MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
D0065507MDMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393632000000",
    "number": "1023010394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 DUNTEACHIN DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210438204",
            "telephone_number": "410-350-1090",
            "fax_number": "855-543-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 DUNTEACHIN DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210438204",
            "telephone_number": "410-350-1090",
            "fax_number": "855-543-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHOPEV",
        "first_name": "NIKOLAY",
        "middle_name": "Z.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0065507",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0065507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4726012",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4726012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.