Kopila Gopali, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137660 Issued in TX

Practice address

2427 Baker Dr
Mesquite, TX 75150-5178

Phone

(817) 987-1127

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

DFW Primary Care PLLCGroup PAC ID 8628201498, 3 clinicians

DFW Medical Home PLLCGroup PAC ID 8921223843, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• DFW Medical Home PLLC

  dba Texas Physician House Calls PLLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Irving, TX
  • NPI 1124441423
  Medicare reassignment Care Compare group NPD
• DFW Primary Care PLLC

  dba DFW Geriatrics PLLC

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1063835361
  Medicare reassignment Care Compare group NPD
• Sumana Ketha, MD PA

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1356565865
  Medicare reassignment NPD

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1487138202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 MATLOCK CENTRE CIR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152535",
            "telephone_number": "817-987-1127",
            "fax_number": "817-987-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 BAKER DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505178",
            "telephone_number": "817-987-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALI",
        "first_name": "KOPILA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidianie Gonzalez, BA PSYCHOLOGY
• Nallely Gonzalez
• Good Shepherd Heart Care PLLC
• Goodfellow Healthcare Services, Inc.
• Lakshmi Deepika Gopalam, MD
• Meridith Tilley Gordon, ATC, LAT
• Micah Gorena, DPT
• Dawit Goshimea, DDS
• Swarnalatha Goskula
• Satish K Goyal, M.D.

• Family Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.

Verify at the official NPI Registry.