Individual provider Active NPI

Joshua Koplon, MD

  • Student in an Organized Health Care Education/Training Program
  • Orlando, FL
National Provider Identifier
1447772876
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
TRN25580 Issued in FL
Practice address
1414 Kuhl Ave # MP31
Orlando, FL 32806-2008
Phone
(407) 237-6329
Fax
(407) 237-6313
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN25580 FL Primary

Addresses

Primary practice location

1414 Kuhl Ave # MP31
Orlando, FL 32806-2008

Mailing address

1414 Kuhl Ave # MP31
Orlando, FL 32806-2008
Phone (407) 237-6329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200625001824 AL Practitioner - Emergency Medicine 4981026655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bessemer Emergency Physicians, LLC.Group PAC ID 8820047913, 10 clinicians

Practice addresses (Care Compare)

5300 Medford Dr
Hoover, AL 35244-2108
Phone (205) 481-7670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.35 of 100Reported as group
Quality
79.64
Improvement activities
40
Cost
79.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN25580FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bessemer Emergency Physicians, LLC. CurrentSince Jul 1, 2020 Accepting new patients

Locations

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

5300 Medford Dr
Hoover, AL 35244
Phone (205) 203-8859

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447772876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 KUHL AVE # MP31",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062008",
            "telephone_number": "407-237-6329",
            "fax_number": "407-237-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 KUHL AVE # MP31",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062008",
            "telephone_number": "407-237-6329",
            "fax_number": "407-237-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPLON",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN25580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.