Active NPI
Angela M. Kopack, MD
- Infectious Disease Physician
- Columbia, MD
National Provider Identifier
1033253471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- D0068536
- Practice address
- 11055 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-2896 - Phone
- (410) 884-1311
- Fax
- (410) 884-6033
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | D0068536 | MD | Primary |
Addresses
Primary practice location
11055 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-2896
Mailing address
11055 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-2896
Phone (410) 884-1311
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0068536 | MD | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Regional Physicians LLC | Infectious Disease | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Infectious Disease Associates
- Infectious Disease Physician
- Baltimore, MD
- NPI 1528541695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246147200000",
"number": "1033253471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11055 LITTLE PATUXENT PKWY",
"address_2": "SUITE 209",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442896",
"telephone_number": "410-884-1311",
"fax_number": "410-884-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11055 LITTLE PATUXENT PKWY",
"address_2": "SUITE 209",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442896",
"telephone_number": "410-884-1311",
"fax_number": "410-884-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPACK",
"first_name": "ANGELA",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2009-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MD",
"license": "D0068536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.