Individual provider Active NPI

Robert Francis Kopecki, DO

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1326047796
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C20005618 Issued in DE
Practice address
3105 Limestone Rd
Suite 301
Wilmington, DE 19808-2147
Phone
(302) 633-1700
Fax
(302) 998-3226
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 C20005618 DE Primary

Addresses

Primary practice location

3105 Limestone Rd
Suite 301
Wilmington, DE 19808-2147

Mailing address

3105 Limestone Rd
Suite 301
Wilmington, DE 19808-2147
Phone (302) 633-1700

Other identifiers 2

IdentifierTypeStateIssuer
973503MedicaidDE
013630I7OtherDEMEDICARE PTAN

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
I20040428000770 DE Practitioner - Internal Medicine 2365439601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Internal Medicine Associates PAGroup PAC ID 7113914458, 4 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

3105 Limestone Rd
Suite 3013
Wilmington, DE 19808-2147
Phone (302) 633-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20005618DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2004 Accepting new patients
Christiana Medical Group, PA Past Accepting new patients

Locations

3105 Limestone Rd
Ste 301
Wilmington, DE 19808
Phone (302) 633-1700

3105 Limestone Rd
Wilmington, DE 19808
Phone (302) 633-1700

Interoperability endpoints

  • Direct secure messaging: robert.kopecki.1@13986.direct.athenahealth.com

Organizations & group practices 3

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 9

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1326047796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 301",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-633-1700",
            "fax_number": "302-633-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 301",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-633-1700",
            "fax_number": "302-998-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPECKI",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C20005618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973503",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "013630I7",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.