Active NPI
Marcelo H Koppel, M.D.
- Nephrology Physician
- Palm Springs, CA
National Provider Identifier
1154536639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A23686
- Practice address
- 555 E Tachevah Dr
Suite 2W-105
Palm Springs, CA 92262-5750 - Phone
- (760) 327-1557
- Fax
- (760) 327-1317
- NPI assigned
- May 10, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A23686 | CA | Primary |
Addresses
Primary practice location
555 E Tachevah Dr
Suite 2W-105
Palm Springs, CA 92262-5750
Mailing address
555 E Tachevah Dr
Suite 2W-105
Palm Springs, CA 92262-5750
Phone (760) 327-1557
Other names 1
- Dr. Marcel Koppel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcel Koppel, MD, Facp, Inc. | Nephrology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Palm Springs, CA
- NPI 1497813091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154536639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E TACHEVAH DR",
"address_2": "SUITE 2W-105",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625750",
"telephone_number": "760-327-1557",
"fax_number": "760-327-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E TACHEVAH DR",
"address_2": "SUITE 2W-105",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625750",
"telephone_number": "760-327-1557",
"fax_number": "760-327-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPPEL",
"first_name": "MARCELO",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A23686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCEL",
"last_name": "KOPPEL",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.