William Joseph Kopp, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01028142 Issued in IN

Practice address

2101 Jackson St
Suite #208
Anderson, IN 46016-4388

Phone

(765) 646-8448

Fax

(765) 683-3130

NPI assigned

Jan 23, 2006

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 5

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

19.22 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

64.05

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• St. Vincent Anderson Regional Hospital, Inc.

  • Psychiatry Physician
  • Anderson, IN
  • NPI 1659624179
  Medicare reassignment NPD
• St. Vincent Anderson Regional Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anderson, IN
  • NPI 1427480029
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1285604371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST",
            "address_2": "SUITE #208",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164388",
            "telephone_number": "765-646-8448",
            "fax_number": "765-683-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST",
            "address_2": "SUITE #208",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164388",
            "telephone_number": "765-646-8448",
            "fax_number": "765-683-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01028142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5986267",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "000000084851",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "021761912",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7885580002",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001711230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew J Koehler, MA
• Kohles Family Practice LLC
• Lauren Kompier, DPM
• Angela Dawn Koontz
• Leah Kopko, RBT
• Stacey Kreegar, NP
• Kregg Koons O.D., Inc.
• Kregg Koons O.D., Inc.
• Brett Thomas Krepps, MD
• Grace Krider

• Family Medicine Physician in Anderson, IN
• Providers in Anderson, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.