Steven A Kooperman, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036070584 Issued in IL

Practice address

1630 W Central Rd
Arlington HTS, IL 60005-2407

Phone

(847) 394-3553

Fax

(847) 394-3574

NPI assigned

Jul 11, 2005

Last updated

Apr 22, 2008By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skooperman@nwwc.gwaydirect.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.

• Northwest Women's Consultants, S.C.

  • Obstetrics & Gynecology Physician
  • Arlington HTS, IL
  • NPI 1770607913
  Medicare reassignment NPD

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1225036577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W CENTRAL RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-3553",
            "fax_number": "847-394-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W CENTRAL RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-3553",
            "fax_number": "847-394-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOPERMAN",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036070584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070584",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "31602433",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA5143",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin K. Sohn, M.D., S.C.
• Kathleen Ann Klein, MSW
• Alexander Kletsel, DDS
• Agata Kluz
• Agnieszka Knobloch, DMD
• Dean Phillip Kopecky, LCSW
• Bernadeta A. Kordas, M.D
• Koziol Psychological Services
• Michele L Lawhun, MD
• Paris Leachman

• Obstetrics & Gynecology Physician in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.

Verify at the official NPI Registry.