Louis E Kopolow, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0016788 Issued in MD

Practice address

8915 Shady Grove CT
Gaithersburg, MD 20877-1308

Phone

(301) 963-0060

Fax

(301) 258-7482

NPI assigned

Jun 21, 2005

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

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.

Opted out of Medicare

Yes, effective May 13, 2016 through May 13, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Potomac Grove Psychiatry

  • Psychologist
  • Gaithersburg, MD
  • NPI 1912111667
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1164428694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 PERTHSHIRE CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173348",
            "telephone_number": "301-897-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771308",
            "telephone_number": "301-963-0060",
            "fax_number": "301-258-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPOLOW",
        "first_name": "LOUIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0016788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "48683",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Joy Kolb, PH.D.
• Natalie Koldaro
• Ratnavali Kolla, M.D.
• Emily Kolyabina, LCSW-C
• Jennifer Koo
• Julliet Koroma
• Edward James Kosenski, D.C.
• Maxime Thierry Kouakam
• Ange Keren Kouassi
• Kourosh Mehrabian DDS & Associates

• Psychiatry Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.