A. Michael Coppa, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD08249 Issued in RI

Practice address

725 Reservoir Ave
Cranston, RI 02910-4448

Phone

(401) 946-4022

Fax

(401) 946-4077

NPI assigned

May 31, 2006

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern New England Healthcare for Women, LLCGroup PAC ID 0042486649, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
• Rhode Island Hospital Hospital, Providence, RI, CCN 410007
• Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: a.michael.coppa.1@3516.direct.athenahealth.com
• Direct secure messaging: mcoppa@wih.cernerdirect.carene.org

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.

• Southern New England Healthcare for Women, LLC

  • Obstetrics & Gynecology Physician
  • Pawtucket, RI
  • NPI 1699058826
  Medicare reassignment Care Compare group NPD
• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Prime Healthcare Services Landmark LLC

  dba Landmark Physician Office Services

  • Orthopaedic Surgery Physician
  • Woonsocket, RI
  • NPI 1457772543

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Prime Healthcare Services Landmark LLC

  dba Landmark Health Services

  • Hematology & Oncology Physician
  • Woonsocket, RI
  • NPI 1518388651
  Medicare reassignment NPD
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629
  Medicare reassignment NPD
• Comprehensive OB/GYN Care, Inc

  • Obstetrics & Gynecology Physician
  • Cranston, RI
  • NPI 1093760498
  Authorized official Same address or phone
• Affinity Physicians LLC

  • Anesthesiology Physician
  • Providence, RI
  • NPI 1053038471
  NPD
• Prime Healthcare Services Landmark LLC

  dba Landmark Medical Center

  • General Acute Care Hospital
  • Woonsocket, RI
  • NPI 1699752923
  NPD
• Southcoast Physicians Group, Inc.

  • Orthopaedic Surgery Physician
  • North Dartmouth, MA
  • NPI 1902201536
  NPD
• Partners in Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Pawtucket, RI
  • NPI 1962440545
  NPD (past)

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

• Kent County Memorial Hospital

  dba Kent County Hospital Rehab Unit

  • Rehabilitation Hospital Unit
  • Warwick, RI
  • NPI 1023017944
  Care Compare affiliation
• Kent County Memorial Hospital

  • General Acute Care Hospital
  • Warwick, RI
  • NPI 1386643294
  Care Compare affiliation
• Rhode Island Hospital

  dba LifePact

  • Ambulance
  • Providence, RI
  • NPI 1053552299

  Hospital

  Care Compare affiliation
• Rhode Island Hospital

  • Clinic/Center
  • Providence, RI
  • NPI 1154663383

  Hospital

  Care Compare affiliation
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1588659528
  Care Compare affiliation
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1972768174
  Care Compare affiliation
• Women & Infants Hospital of Rhode Island

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1447233788
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1114964251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-946-4022",
            "fax_number": "401-946-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-946-4022",
            "fax_number": "401-946-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 North St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027402782",
            "country_code": "US",
            "telephone_number": "508-973-2208",
            "fax_number": "508-973-1225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1526 Atwood Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193289",
            "country_code": "US",
            "telephone_number": "401-404-2975",
            "fax_number": "401-404-2976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPA",
        "first_name": "A. MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "257798",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD08249",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "RI",
            "license": "MD08249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003554",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acoppa13585@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "543 North St",
            "city": "New Bedford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027402782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.michael.coppa.1@3516.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "address_1": "725 Reservoir Ave",
            "city": "Cranston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029104448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Obstetrics & Gynecology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.