Individual provider Active NPI

Ryan Coppola, DO

  • Emergency Medicine Physician
  • Belmond, IA
National Provider Identifier
1528053345
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3404 Issued in IA
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

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0428086MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000608 IA Practitioner - Family PracticePractitioner - Emergency Medicine 3375685993 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3404IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Jan 16, 2013 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Broadlawns Medical Center CurrentSince Jan 16, 2013 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Belmond Community Hospital CurrentSince Oct 10, 2009 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Apr 1, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.