Individual provider Active NPI

John E Copanos, M.D.

  • Internal Medicine Physician
  • Winchester, MA
National Provider Identifier
1033282272
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230411 Issued in MA
Practice address
41 Highland Ave
Winchester, MA 01890-1446
Phone
(781) 756-7095
NPI assigned
Nov 16, 2006
Last updated
Apr 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230411 MA Primary

Addresses

Primary practice location

41 Highland Ave
Winchester, MA 01890-1446

Mailing address

3 Nokomis Way
Natick, MA 01760-6079
Phone (508) 308-6849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000572 MA Practitioner - Internal Medicine 5890898480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Hospital Inpatient Specialists PLLCGroup PAC ID 6002037520, 6 clinicians
Winchester Lahey Inpatient Specialists PLLCGroup PAC ID 6608150149, 30 clinicians

Practice addresses (Care Compare)

41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 729-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.7 of 100Reported as individual
Quality
92.55
Improvement activities
0
Cost
79.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
230411MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Hospital Inpatient Specialists PLLC Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Winchester Lahey Inpatient Specialists PLLC Internal Medicine CurrentSince Jan 4, 2017 Accepting new patients
Winchester Hospital Past Accepting new patients

Locations

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734

35 United Dr
Ste 102
West Bridgewater, MA 02379

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

1 Harbison Way
Ste 222
Columbia, SC 29212

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1033282272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NOKOMIS WAY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017606079",
            "telephone_number": "508-308-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HIGHLAND AVE",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901446",
            "telephone_number": "781-756-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPANOS",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "230411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.