Individual provider Active NPI

Sarah Marie Koopman, PA

  • Physician Assistant
  • New Albany, IN
National Provider Identifier
1245468503
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
99038087A Issued in IN
Practice address
4101 Technology Ave
New Albany, IN 47150-8548
Phone
(812) 941-4500
NPI assigned
Jun 25, 2009
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 99038087A IN Primary

Addresses

Primary practice location

4101 Technology Ave
New Albany, IN 47150-8548

Mailing address

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500

Other names 1

  • Sarah Marie Kitchin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.koopmanpa.p63@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000749 IN Practitioner - Physician Assistant 6406900893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizons Physical Therapy Limited PartnershipGroup PAC ID 4183641608, 77 clinicians

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

2125 State St
Suite 2
New Albany, IN 47150-4972

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
99038087AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Jun 1, 2011 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Jun 1, 2011 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

3897 Charlestown Rd
New Albany, IN 47150
Phone (502) 495-3665

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

Interoperability endpoints

  • Direct secure messaging: skoopman211161@direct.optum.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1245468503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOPMAN",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "99038087A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.koopmanpa.p63@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4101 Technology Ave",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471508548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KITCHIN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.