NPIMap

Individual provider Active NPI

Alexander Kopelnik, M.D.

  • Cardiovascular Disease Physician
  • San Leandro, CA
National Provider Identifier
1306041355
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A90257 Issued in CA
Practice address
1532 150TH Ave
San Leandro, CA 94578
Phone
(510) 351-6363
Fax
(510) 278-3757
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A90257 CA
Cardiovascular Disease Physician 207RC0000X A90257 CA Primary

Addresses

Primary practice location

1532 150TH Ave
San Leandro, CA 94578

Mailing address

1532 150TH Avenue
San Leandro, CA 94578-1823
Phone (510) 351-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000664 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8628179462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Aditya Jain MD IncGroup PAC ID 4183854821, 6 clinicians

Practice addresses (Care Compare)

1532 150TH Ave
San Leandro, CA 94578-1823
Phone (510) 351-6363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
78.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90257CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCA Healthone LLC Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
North County Inpatient Medical Alliance, a Medical Group, Inc Past Accepting new patients
Acute Care Associates, Inc Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
THC - Orange County LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akopelnik142058@hisp.ehr.sutterhealth.org
  • Direct secure messaging: akopelnik13617@direct.whhs.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1306041355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 150TH AVENUE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781823",
            "telephone_number": "510-351-6363",
            "fax_number": "510-278-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 150TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94578",
            "telephone_number": "510-351-6363",
            "fax_number": "510-278-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPELNIK",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90257",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A90257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.