NPIMap

Individual provider Active NPI

Morgan Koepke, MD

  • Internal Medicine Physician
  • Parma, OH
National Provider Identifier
1124280474
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35096701 Issued in OH
Practice address
1440 Rockside Rd Ste 202
Parma, OH 44134-2749
Phone
(216) 749-8256
Fax
(216) 749-8209
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 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 35096701 OH Primary

Addresses

Primary practice location

1440 Rockside Rd Ste 202
Parma, OH 44134-2749

Mailing address

1440 Rockside Rd Ste 202
Parma, OH 44134-2749
Phone (216) 749-8276

Other identifiers 1

IdentifierTypeStateIssuer
0052397MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110909002433 OH Practitioner - Internal Medicine 7810167475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgepark Medical Associates, Inc.Group PAC ID 1355323668, 3 clinicians

Practice addresses (Care Compare)

1440 Rockside Rd
Suite 202
Parma, OH 44134-2749
Phone (216) 749-8276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35096701OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgepark Medical Associates Inc Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients

Locations

7575 Northcliff Ave
Ste 304
Cleveland, OH 44144
Phone (216) 351-0778

1440 Rockside Rd
Ste 202
Parma, OH 44134
Phone (216) 749-5877

18627 Shurmer Rd
Strongsville, OH 44136
Phone (440) 238-3361

Interoperability endpoints

  • Direct secure messaging: mkoepke36079@ehrdirect.uhhospitals.org
  • Direct secure messaging: mkoepke@direct.swgeneral.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caring Hospice Services of Ohio, LLCIndependence, OH, CCN 361670 Hospice Contracted Managing Employee Jan 4, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1124280474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-749-8276",
            "fax_number": "216-749-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-749-8256",
            "fax_number": "216-749-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35096701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052397",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.