NPIMap

Individual provider Active NPI

Ilona M Kopits, M.D., M.P.H.

  • Geriatric Medicine (Family Medicine) Physician
  • Boston, MA
National Provider Identifier
1477622512
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
230334 Issued in MA
Practice address
850 Harrison Avenue
Yacc, 3Rd Floor
Boston, MA 02118-4001
Phone
(617) 638-6100
Fax
(617) 638-6179
NPI assigned
Nov 6, 2006
Last updated
Aug 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 230334 MA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 230334 MA Primary

Addresses

Primary practice location

850 Harrison Avenue
Yacc, 3Rd Floor
Boston, MA 02118-4001

Mailing address

720 Harrison Avenue
Dob 503
Boston, MA 02118

Other identifiers 1

IdentifierTypeStateIssuer
110075317AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000346 MA Practitioner - Geriatric MedicinePractitioner - Family Practice 1658373303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evans Medical Foundation IncGroup PAC ID 7416946546, 525 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8000

72 E Newton St
CR Evans 124
Boston, MA 02118-2308
Phone (617) 638-7253

88 E Newton St
Boston, MA 02118-2308
Phone (617) 414-5405

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Harbor Health Services, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Harbor Health Services, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Evans Medical Foundation, Inc. CurrentSince Jul 1, 2008 Accepting new patients
Boston University Family Medicine, Inc. Family Medicine Past Accepting new patients

Locations

720 Harrison Ave
Boston, MA 02118
Phone (617) 638-7460

725 Albany St
Ste 7A
Boston, MA 02118
Phone (617) 414-8680

725 Albany St
Ste 9A
Boston, MA 02118
Phone (617) 414-4639

850 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 414-4020

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

637 Washington St
Dorchestr Ctr, MA 02124
Phone (617) 822-8211

1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

Interoperability endpoints

  • Direct secure messaging: ikopits10909@direct.bmc.masshiway.net
  • Direct secure messaging: ikopits808004@direct.ochin.org
  • Direct secure messaging: ilona.kopits.p1@direct.hhsi.nextgenshare.com

Organizations & group practices 5

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 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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1477622512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVENUE",
            "address_2": "DOB 503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVENUE",
            "address_2": "YACC, 3RD FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-638-6100",
            "fax_number": "617-638-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPITS",
        "first_name": "ILONA",
        "middle_name": "M",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "230334",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "230334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075317A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.