Jeff D Kopelman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO0002119 Issued in FL

Practice address

4423 Central Ave
St Petersburg, FL 33713-8232

Phone

(727) 321-4040

Fax

(727) 522-7412

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

74.92 of 100Reported as group

Quality

43.73

Promoting interoperability

100

Improvement activities

40

Cost

72.67

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jkopelman189296@orlandohealth.medalliesdirect.net

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.

• Dr. Jeff Kopelman, DPM

  • Podiatrist
  • St Petersburg, FL
  • NPI 1467668764
  NPD (past) Authorized official
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1497738900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 4TH STREET NORTH",
            "address_2": "ALL FLORIDA ORTHOPAEDIC ASSOCIATES",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033802",
            "telephone_number": "727-527-5272",
            "fax_number": "727-522-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138232",
            "telephone_number": "727-321-4040",
            "fax_number": "727-522-7412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 4th Street North",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337033802",
            "country_code": "US",
            "telephone_number": "727-527-5272",
            "fax_number": "727-522-7412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9555 Seminole Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337722522",
            "country_code": "US",
            "telephone_number": "727-527-5272",
            "fax_number": "727-522-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPELMAN",
        "first_name": "JEFF",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0002119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65149",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "202493",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390062200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "480013205",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gianna Kondzielawa
• Alexandria S. Kongsiri, M.D.
• Katia Konicek-Stetor, APRN
• Pete Konidas, PHARM. D.
• Paola Margarita Kontrick, LMT
• Ravikiran Korabathina, M.D.
• Tatyana Korableva, PA-C
• Manju Korattiyil, MD
• Erika Korbaj, PA-C
• Rabee H Korbaj, MD

• Podiatrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.