Individual provider Active NPI

Lynn M. Coppola, M.D.

  • Maternal & Fetal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1609849017
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
26547 Issued in AZ
Practice address
6060 N. Fountain Plaza Drive
Suite 200
Tucson, AZ 85704
Phone
(520) 392-7500
Fax
(520) 323-4350
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 26547 AZ Primary

Addresses

Primary practice location

6060 N. Fountain Plaza Drive
Suite 200
Tucson, AZ 85704

Mailing address

2424 N. Wyatt Drive.
Suite 260
Tucson, AZ 85712
Phone (520) 795-0549

Other identifiers 2

IdentifierTypeStateIssuer
160049893OtherAZRR MEDICARE
169682MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080731000362 AZ Practitioner - Obstetrics/Gynecology 0446324909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

2800 E Ajo Way
Tucson, AZ 85713-6204

3838 N Campbell Ave
Tucson, AZ 85719-1454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Obstetrics & Gynecology CurrentSince Aug 28, 2015 Accepting new patients
Banner-University Medical Group CurrentSince Aug 28, 2015 Accepting new patients
Banner - University Medical Center Tucson Campus LLC Past Accepting new patients
Commonwealth Physicians for Women, PC Obstetrics & Gynecology Past Accepting new patients
Northwest Hospital LLC Past Accepting new patients

Locations

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

7355 S Houghton Rd
Ste 208
Tucson, AZ 85747
Phone (520) 874-3111

6060 N Fountain Plaza Dr
Ste 200
Tucson, AZ 85704
Phone (520) 731-5540

3838 N Campbell Ave
#2
Tucson, AZ 85719

3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1609849017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 N. WYATT DRIVE.",
            "address_2": "SUITE 260",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-795-0549",
            "fax_number": "520-795-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 N. FOUNTAIN PLAZA DRIVE",
            "address_2": "SUITE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "LYNN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "26547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "160049893",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169682",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.