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
- 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A236860 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23686 | CA | MD | General Practice Dentistry |
| A23686 | CA | MD | Nephrology Physician |
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 and National Provider Directory roles.
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A236860",
"state": "CA"
}
],
"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.