Rene Koppel, M.D. - a Professional Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RENE KOPPEL, M.D. - A PROFESSIONAL MEDICAL CORPORATION

Practice address

3640 Houma Blvd
Metairie, LA 70006-4230

Phone

(504) 454-1885

Fax

(504) 454-0925

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Rene Koppel, M.D.NPI 1861459547

Title

Physician

Phone

(504) 454-1885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Rene Koppel MD - a Professional Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rene Koppel, M.D. - a Professional Medical Corporation

  • Dermatology Physician
  • La Place, LA
  • NPI 1255517371
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene None Koppel, M.D.

  • Procedural Dermatology Physician
  • Metairie, LA
  • NPI 1861459547
  Medicare reassignment Care Compare group NPD Authorized official
• Douglas A Koppel, M.D.

  • Procedural Dermatology Physician
  • Metairie, LA
  • NPI 1376616409
  Medicare reassignment Care Compare group NPD
• Robert Andrew Koppel, M.D.

  • Dermatology Physician
  • Metairie, LA
  • NPI 1326066952
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497764633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064230",
            "telephone_number": "504-454-1885",
            "fax_number": "504-454-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064230",
            "telephone_number": "504-454-1885",
            "fax_number": "504-454-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE KOPPEL, M.D. - A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "504-454-1885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Michelle Reliford, FNP-C
• Paul Remedios, MD
• Renaissance Dental Implant Center, LLC
• Renal Life Link Inc
• Renal MD LLC
• Rene L. Deboisblanc, MD LLC
• Renewed Hope Behavioral Health
• Resolute Healthcare LLC
• Resolve Molecular Diagnostics LLC
• Resources for Human Development-Housing Support Team

• Dermatology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.