Active NPI
Anna Kupcha, M.D.
- Ophthalmology Physician
- Taunton, MA
National Provider Identifier
1417377136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 57179
- Practice address
- 2005 Bay St Ste 206
Taunton, MA 02780-1085 - Phone
- (508) 823-7473
- NPI assigned
- Apr 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 57179 | TN | |
| Ophthalmology Physician | 207W00000X | 57179 | TN | Primary |
Addresses
Primary practice location
2005 Bay St Ste 206
Taunton, MA 02780-1085
Mailing address
2005 Bay St Ste 206
Taunton, MA 02780-1085
Phone (508) 823-7473
Other practice location 1
3601 The Vanderbilt Clinic
Nashville, TN 37232
Phone (615) 322-3000
Other names 1
- N/a N/a
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Southwestern Medical School at Dallas, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 Rivergate LN
Unit 212
Durango, CO 81301-7488
Phone (970) 259-2202
Hospital & facility affiliations
- Animas Surgical Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Four Corners Eye Clinic, PC | Current | Accepting new patients | |
| Four Corners Eye Clinic, PC | Current | Accepting new patients |
Locations
575 Rivergate Ln
Unit 212
Durango, CO 81301
Phone (970) 259-2202
Interoperability endpoints
- akupcha135632@direct.bmc.masshiway.net
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.
-
- Specialist
- Durango, CO
- NPI 1164595658
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Specialist
- Pagosa Springs, CO
- NPI 1386875441
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1417377136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 BAY ST STE 206",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027801085",
"telephone_number": "508-823-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 BAY ST STE 206",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027801085",
"telephone_number": "508-823-7473"
}
],
"practiceLocations": [
{
"address_1": "3601 The Vanderbilt Clinic",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37232",
"country_code": "US",
"telephone_number": "615-322-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUPCHA",
"first_name": "ANNA",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "TN",
"license": "57179",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "57179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.