Patrick A Kupelian, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

C54049 Issued in CA

Practice address

200 Medical PLZ
B265
Los Angeles, CA 90095-0001

Phone

(310) 825-0128

Fax

(407) 425-5203

NPI assigned

Dec 14, 2005

Last updated

Sep 14, 2010By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkupelian37937@direct.uclahealth.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.

• Orlando Cancer Center Inc

  dba MD Anderson Cancer Center Orlando

  • Medical Oncology Physician
  • Orlando, FL
  • NPI 1578510582

  Radiation Oncology

  NPD

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1144205881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-825-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-0128",
            "fax_number": "407-425-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPELIAN",
        "first_name": "PATRICK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "C54049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C540490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Kuo, M.D.
• Thomas R Kuo, DDS
• William Kuo
• David J Kuoch, L.AC., MTOM
• Marine Kupalyan
• Julie M Kuperman, MD
• Steven Barry Kupferman, DMD, MD
• Sophie Ann Kupiec-Weglinski
• Cynthia Kupiec
• Sean Michael Kupiec, MA, ATC, PES

• Radiation Oncology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.