NPIMap

Individual provider Active NPI

Joyce Rene Koppang, MD

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1073590568
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14098 Issued in AL
Practice address
3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone
(205) 510-5000
NPI assigned
Dec 27, 2005
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14098 AL Primary

Addresses

Primary practice location

3980 Colonnade Pkwy
Birmingham, AL 35243-2382

Mailing address

3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone (205) 510-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000702 AL Practitioner - Cardiovascular Disease (Cardiology) 8729980917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Florida College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone (205) 795-5390

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14098ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tombigbee Healthcare Authority CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Tombigbee Healthcare Authority CurrentSince Sep 1, 2021 Accepting new patients
Tombigbee Healthcare Authority Current Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 1, 2019 Accepting new patients
Baptist Health Centers, LLC CurrentSince Aug 1, 2019 Accepting new patients
Cardiovascular Associates of North Alabama, P.C. Cardiovascular Disease Past Accepting new patients
Brookwood Diagnostic Imaging Center, LLC Past Accepting new patients
Heart South Cardiovascular Group, P.C. Cardiovascular Disease PastSince Jul 1, 2007 Accepting new patients
Southlake Orthopaedics Sports Medicine and Spine Center, PC Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

105 US Highway 80 E
Ste 230
Demopolis, AL 36732
Phone (334) 287-2840

Interoperability endpoints

  • Direct secure messaging: jkoppang35806@baptisthealthaldirect.org

Organizations & group practices 10

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1073590568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432382",
            "telephone_number": "205-510-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432382",
            "telephone_number": "205-510-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPANG",
        "first_name": "JOYCE",
        "middle_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "14098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.