Active NPI
Marcel Koppel, MD, Facp, Inc.
- Nephrology Physician
- Palm Springs, CA
National Provider Identifier
1497813091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A23686
- Legal business name
- MARCEL KOPPEL, MD, FACP, INC.
- Practice address
- 555 E Tachevah Dr
2W 105
Palm Springs, CA 92262-5750 - Phone
- (760) 327-1557
- Fax
- (760) 327-1317
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcelo H Koppel, M.D.
- Title
- President
- Phone
- (760) 327-1557
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A23686 | CA | Primary |
Addresses
Primary practice location
555 E Tachevah Dr
2W 105
Palm Springs, CA 92262-5750
Mailing address
555 E Tachevah Dr
2W-105
Palm Springs, CA 92262-5750
Phone (760) 327-1557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A236860 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497813091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E TACHEVAH DR",
"address_2": "2W-105",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625750",
"telephone_number": "760-327-1557",
"fax_number": "760-327-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E TACHEVAH DR",
"address_2": "2W 105",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625750",
"telephone_number": "760-327-1557",
"fax_number": "760-327-1317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCEL KOPPEL, MD, FACP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOPPEL",
"authorized_official_first_name": "MARCELO",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-327-1557",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A23686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A236860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.