Active NPI
Ryan Coppola, DO
- Emergency Medicine Physician
- Belmond, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3404
- Practice address
- 403 1St St SE
Belmond Medical Center
Belmond, IA 50421-1201 - Phone
- (641) 444-3223
- Fax
- (641) 444-4895
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3404 | IA | Primary |
Addresses
Primary practice location
403 1St St SE
Belmond Medical Center
Belmond, IA 50421-1201
Mailing address
403 1St St SE
Belmond Medical Center
Belmond, IA 50421-1201
Phone (641) 444-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0428086 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20100120000608 | IA | Practitioner - Family Practice | 3375685993 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3404 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Belmond Community Hospital | Current | Accepting new patients | |
| Belmond Community Hospital | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Past | Accepting new patients | |
| Belmond Community Hospital | Past | Accepting new patients |
Locations
403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223
1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811
215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
1801 Hickman Rd
Bldg First
Des Moines, IA 50314
700 2nd St SE
Ste 101
Hampton, IA 50441
Phone (641) 812-1094
Interoperability endpoints
- rcoppola84065@uihcdirect.org
Organizations & group practices 8
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.
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
-
- Ambulance
- Belmond, IA
- NPI 1659417764
-
- Medicare Defined Swing Bed Hospital Unit
- Clarion, IA
- NPI 1417993536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1528053345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 1ST ST SE",
"address_2": "BELMOND MEDICAL CENTER",
"city": "BELMOND",
"state": "IA",
"postal_code": "504211201",
"telephone_number": "641-444-3223",
"fax_number": "641-444-4896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 1ST ST SE",
"address_2": "BELMOND MEDICAL CENTER",
"city": "BELMOND",
"state": "IA",
"postal_code": "504211201",
"telephone_number": "641-444-3223",
"fax_number": "641-444-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPOLA",
"first_name": "RYAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "3404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0428086",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belmond, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.