Mordecai Kopperman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

04-16318 Issued in KS

Practice address

119 W Iron Ave FL 5
Salina, KS 67401-2600

Phone

(785) 827-9526

Fax

(785) 827-2854

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• United Radiology Group, Chartered

  • Diagnostic Radiology Physician
  • Salina, KS
  • NPI 1477513224

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1164512927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W IRON AVE FL 5",
            "address_2": "PO BOX 2327",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012600",
            "telephone_number": "785-827-9526",
            "fax_number": "785-827-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W IRON AVE FL 5",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012600",
            "telephone_number": "785-827-9526",
            "fax_number": "785-827-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPERMAN",
        "first_name": "MORDECAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "KS",
            "license": "04-16318",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "KS",
            "license": "04-16318",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "KS",
            "license": "04-16318",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-16318",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "KS",
            "license": "04-16318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088880A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Kobs, PHARMD
• Angela Nicole Koerperich, ARNP
• Jeffrey Koksal, DDS
• Gary Kolling, RPH
• Angela D Kooken, LMSW
• William D. Kossow, MD
• Robert R Kraft, MD
• Jenna Beth Krehbiel, LSCSW
• Mark A Krehbiel, MD
• Dorilda Anne Kresin, LSCSW

• All providers in Salina, KS
• Diagnostic Radiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.