Individual provider Active NPI

Elliot W Cooperman, MD

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1316998867
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0034891 Issued in FL
Practice address
311 E Evans St
Orlando, FL 32804-4613
Phone
(407) 898-6091
Fax
(407) 896-3452
NPI assigned
May 12, 2006
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0034891 FL Primary

Addresses

Primary practice location

311 E Evans St
Orlando, FL 32804-4613

Mailing address

311 E Evans St
Orlando, FL 32804-4613
Phone (407) 898-6091

Other identifiers 7

IdentifierTypeStateIssuer
180000687OtherFLRAIL ROAD MEDICARE
0052241OtherFLGHI
898092OtherFLAETNA HMO
065572400MedicaidFL
4008330OtherFLAETNA PPO/PPS
0004355807OtherFLHUMANA
032439411013OtherFLCIGNA

Other names 1

  • Elliot W Cooperman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120502000410 FL Practitioner - Ophthalmology 1254593510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 E Evans St
Orlando, FL 32804-4613

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.58 of 100Reported as individual
Quality
85.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0034891FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot W Cooperman MD PA Ophthalmology CurrentSince Jan 1, 1979 Accepting new patients

Locations

311 E Evans St
Orlando, FL 32804
Phone (305) 898-6091

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1316998867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E EVANS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044613",
            "telephone_number": "407-898-6091",
            "fax_number": "407-896-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E EVANS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044613",
            "telephone_number": "407-898-6091",
            "fax_number": "407-896-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERMAN",
        "first_name": "ELLIOT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0034891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "180000687",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0052241",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "898092",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065572400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/PPS",
            "identifier": "4008330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "0004355807",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "032439411013",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIOT",
            "last_name": "COOPERMAN",
            "middle_name": "W",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.