Active NPI
Mark J Kopel, D.O.
- Family Medicine Physician
- Hartland, MI
National Provider Identifier
1437264645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MK008618
- Practice address
- 11150 Highland Rd
Hartland, MI 48353-2702 - Phone
- (810) 632-6380
- Fax
- (810) 632-6601
- NPI assigned
- Aug 20, 2006
- Last updated
- Sep 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MK008618 | MI | Primary |
Addresses
Primary practice location
11150 Highland Rd
Hartland, MI 48353-2702
Mailing address
11150 Highland Rd
Hartland, MI 48353-2702
Phone (810) 632-6380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11150 Highland Rd
Hartland, MI 48353-2702
Phone (810) 632-6380
Hospital & facility affiliations
- Residential Home Health and Hospice
- Residential Home Health
- The Medical Team
- Trinity Health Ann Arbor Hospital
- Huron Valley-Sinai Hospital
- Trinity Health Livingston Hospital
- University of Michigan Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MK008618 | MI | MD | Family Medicine Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/9875/brand/1/csg/1/fhir/r4
- mark.kopel.1@9875.direct.athenahealth.com
- mkopel@direct.dmc.org
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.
-
- Family Medicine Physician
- Hartland, MI
- NPI 1962548479
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- Home Health Agency
- Lapeer, MI
- NPI 1316054810
-
- Community Based Hospice Care Agency
- Lapeer, MI
- NPI 1831395243
Home health agency
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- Community Based Hospice Care Agency
- Flint, MI
- NPI 1679877211
-
dba Huron Valley-Sinai Hospital
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1437264645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11150 HIGHLAND RD",
"city": "HARTLAND",
"state": "MI",
"postal_code": "483532702",
"telephone_number": "810-632-6380",
"fax_number": "810-632-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11150 HIGHLAND RD",
"city": "HARTLAND",
"state": "MI",
"postal_code": "483532702",
"telephone_number": "810-632-6380",
"fax_number": "810-632-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPEL",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "MK008618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.