Jeffrey Allan Copoloff, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0355 Issued in AZ

Practice address

3811 E Bell Rd
Suite 309
Phoenix, AZ 85032-2138

Phone

(480) 420-0749

Fax

(480) 420-0732

NPI assigned

Jun 6, 2006

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.copoloff.1@600.direct.athenahealth.com

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.

• VHS Outpatient Clinics, Inc.

  dba Abrazo Medical Group

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1912979964
  Medicare reassignment Care Compare group NPD
• VHS Outpatient Clinics, Inc.

  dba Arizona Sports Medicine Center (ASMC)

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1891302790
  NPD
• Associated Thoracic & Cardiovascular Surgeons, LTD

  dba Cardiothoracic & Vascular

  • Specialist
  • Phoenix, AZ
  • NPI 1043431760
  NPD (past)
• Footcare Center - Dr. Mark Gorman, PC

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
  • NPI 1033325097
  NPD (past)
• Richard P. Jacoby DPM PC

  • Primary Podiatric Medicine Podiatrist
  • Scottsdale, AZ
  • NPI 1992091565
  NPD (past)
• Richard P. Jacoby, DPM, PC

  dba Extremity Health Center

  • Primary Podiatric Medicine Podiatrist
  • Buckeye, AZ
  • NPI 1043088966
  NPD (past)
• Richard P. Jacoby, DPM, PC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1235406240
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1164461802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD",
            "address_2": "SUITE 309",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322138",
            "telephone_number": "480-420-0749",
            "fax_number": "480-420-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD",
            "address_2": "SUITE 309",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322138",
            "telephone_number": "480-420-0749",
            "fax_number": "480-420-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPOLOFF",
        "first_name": "JEFFREY",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4496171",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129181",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6624646",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "113710768",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET AZ",
            "identifier": "2Z1833",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11178489",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6202669",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0195160",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Copeland, NNP
• Bettie H Coplan, PA
• Sarah Taylor Coplan, PNP
• Cynthia R Copley, M.D.
• Christopher Scott Coplin, D.M.D
• Copper Canyon Health
• Copper Code Correlation LLC
• Copper Sky Hospice LLC
• Copper Star Anesthesia, LLC
• Copper Star Medical Supply

• Foot & Ankle Surgery Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.