Individual provider Active NPI

Kevin Andrew Copeland, D.O.

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1265563571
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C7-0003486 Issued in DE
Practice address
4755 Ogletown-Stanton Road
Newark, DE 19718
Phone
(302) 733-6344
Fax
(302) 733-6386
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C7-0003486 DE Primary

Addresses

Primary practice location

4755 Ogletown-Stanton Road
Newark, DE 19718

Mailing address

4755 Ogletown-Stanton Rd Christiana Hospital
C/O Academic Affairs Suite 2A00 P.O Box 6001
Newark, DE 19718-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20090827000243 DE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365597390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians, LLCGroup PAC ID 3476441841, 46 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 200
Newark, DE 19713-2150
Phone (302) 366-8600

1050 Industrial Dr
Middletown, DE 19709-2801
Phone (302) 366-8600

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

910 Foulk Rd
Wilmington, DE 19803-3158
Phone (302) 366-8600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2014 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Jul 1, 2014 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Cardiology Physicians, LLC CurrentSince Jul 1, 2014 Accepting new patients
Christiana Care Health Services Inc Internal Medicine Past Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Christiana Care Health Services, Inc Internal Medicine Past Accepting new patients

Locations

1 Centurian Dr
Ste 200
Newark, DE 19713
Phone (302) 366-5658

4755 Ogletownstanton Rd
Newark, DE 19718
Phone (302) 733-6510

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 107
Newark, DE 19718

501 W 14th St
#5W67
Wilmington, DE 19801
Phone (302) 320-4900

910 Foulk Rd
Wilmington, DE 19803
Phone (302) 477-1536

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Interoperability endpoints

  • Direct secure messaging: kevincopeland@cppa.allscriptsdirect.net
  • Direct secure messaging: kevin.copeland.p3@direct.chv.nextgenshare.com

Organizations & group practices 7

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 3

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1265563571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN-STANTON RD CHRISTIANA HOSPITAL",
            "address_2": "C/O ACADEMIC AFFAIRS SUITE 2A00 P.O BOX 6001",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197180001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN-STANTON ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-6344",
            "fax_number": "302-733-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C7-0003486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.