Individual provider Active NPI

Keith J. Kopec, MD

  • Cardiovascular Disease Physician
  • Cedar Rapids, IA
National Provider Identifier
1588649875
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31274 Issued in IA
Practice address
202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2404
Phone
(319) 364-7101
Fax
(319) 363-1993
NPI assigned
Dec 9, 2005
Last updated
May 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 31274 IA Primary

Addresses

Primary practice location

202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2404

Mailing address

202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2404
Phone (319) 364-7101

Other identifiers 2

IdentifierTypeStateIssuer
1588649875MedicaidIA
P00833585OtherIARR MEDICARE

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
I20050124001085 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8729038161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

1600 1St St E
Independence, IA 50644-3155
Phone (319) 338-6071

202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2419
Phone (319) 368-5757

225 12TH St NE
Cedar Rapids, IA 52402-5077
Phone (319) 369-8764

502 N 9TH Ave
Virginia Gay Hospital
Vinton, IA 52349-2254
Phone (319) 472-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
75.82
Promoting interoperability
81
Improvement activities
40
Cost
75.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31274IAMDCardiovascular Disease Physician
000000IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital CurrentSince Jan 9, 2009 Accepting new patients
St. Luke's Methodist Hospital Cardiovascular Disease CurrentSince Jan 9, 2009 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Cardiologists LC Cardiovascular Disease Past Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-3131

105 9th Ave
Belle Plaine, IA 52208
Phone (319) 444-2840

202 10th St SE
Ste 225
Cedar Rapids, IA 52403
Phone (319) 364-7101

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

1026 A Ave NE
Ste 5000
Cedar Rapids, IA 52402
Phone (319) 368-5757

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

709 W Main St
Ste 100
Manchester, IA 52057
Phone (563) 927-2855

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

740 E Oak St
Monticello, IA 52310
Phone (319) 364-7101

200 Virgil Ave SE
Mount Vernon, IA 52314
Phone (319) 378-8280

1412 Cedar St
Tipton, IA 52772
Phone (563) 886-2182

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

1803 C Ave
Vinton, IA 52349
Phone (319) 472-2304

Interoperability endpoints

  • Direct secure messaging: kkopec40897@direct.unitypoint.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1588649875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "address_2": "SUITE 225",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-364-7101",
            "fax_number": "319-363-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "address_2": "SUITE 225",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-364-7101",
            "fax_number": "319-363-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEC",
        "first_name": "KEITH",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "31274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588649875",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00833585",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.