Active NPI
Daniel J Kupas, D.O.
- Family Medicine Physician
- Apollo, PA
National Provider Identifier
1477742005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-008135L
- Practice address
- 310 S 2ND St
Apollo, PA 15613-1150 - Phone
- (724) 478-2999
- Fax
- (724) 478-3005
- NPI assigned
- Oct 19, 2007
- 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 | OS-008135L | PA | Primary |
Addresses
Primary practice location
310 S 2ND St
Apollo, PA 15613-1150
Mailing address
310 S 2ND St
Apollo, PA 15613-1150
Phone (724) 478-2999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G12853 | Other | PA | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120118000332 | PA | Practitioner - Family Practice | 2365619251 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
310 S 2ND St
Apollo, PA 15613-1150
Phone (724) 478-2999
Hospital & facility affiliations
- Allegheny Health Network Healthcare at Home Home H
- Allegheny Valley Hospital
- Magee Womens Hospital of Upmc Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-008135L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiski Valley Community Medicine, PC | Family Medicine | Current | Accepting new patients |
| Kiski Valley Community Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Apollo, PA
- NPI 1497751002
Family Medicine, PA
-
- Non-Pharmacy Dispensing Site
- Apollo, PA
- NPI 1417274473
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Warrendale, PA
- NPI 1003020306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1477742005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S 2ND ST",
"city": "APOLLO",
"state": "PA",
"postal_code": "156131150",
"telephone_number": "724-478-2999",
"fax_number": "724-478-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S 2ND ST",
"city": "APOLLO",
"state": "PA",
"postal_code": "156131150",
"telephone_number": "724-478-2999",
"fax_number": "724-478-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPAS",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS-008135L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G12853",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apollo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.