Individual provider Active NPI

Barbara Elzbieta Kucewicz Kopyta, MD

  • Internal Medicine Physician
  • Albertville, AL
National Provider Identifier
1477637239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00021174 Issued in AL
Practice address
312 Sand Mountain Drive Southeast
Albertville, AL 35950
Phone
(256) 891-4577
Fax
(256) 891-4919
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00021174 AL Primary
Internal Medicine Physician 207R00000X MD062147L PA

Addresses

Primary practice location

312 Sand Mountain Drive Southeast
Albertville, AL 35950

Mailing address

312 Sand Mountain Drive Southeast
Albertville, AL 35950
Phone (256) 891-4577

Other identifiers 2

IdentifierTypeStateIssuer
009951470MedicaidAL
051501031OtherALBCBS

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
I20110330000032 AL Practitioner - Internal Medicine 1658394085

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
20.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021174ALMDInternal Medicine Physician
MD062147LPAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477637239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SAND MOUNTAIN DRIVE SOUTHEAST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "35950",
            "telephone_number": "256-891-4577",
            "fax_number": "256-891-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SAND MOUNTAIN DRIVE SOUTHEAST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "35950",
            "telephone_number": "256-891-4577",
            "fax_number": "256-891-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCEWICZ KOPYTA",
        "first_name": "BARBARA",
        "middle_name": "ELZBIETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00021174",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062147L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009951470",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051501031",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.