Individual provider Active NPI

Rebecca M Copf, MD

  • Internal Medicine Physician
  • Lenox, MI
National Provider Identifier
1629176227
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068022 Issued in MI
Practice address
67330 Paschalk Rd
Lenox, MI 48050-1347
Phone
(586) 727-3038
Fax
(586) 727-3038
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RC071894 MI
Internal Medicine Physician 207R00000X 4301068022 MI Primary

Addresses

Primary practice location

67330 Paschalk Rd
Lenox, MI 48050-1347

Mailing address

67330 Paschalk Rd
Lenox, MI 48050-1347
Phone (586) 727-3038

Other identifiers 2

IdentifierTypeStateIssuer
0H24845OtherMIBCBS MI
4930419-10MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RC071894MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Medical of Dearborn P.L.L.C. Past Accepting new patients

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1629176227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67330 PASCHALK RD",
            "city": "LENOX",
            "state": "MI",
            "postal_code": "480501347",
            "telephone_number": "586-727-3038",
            "fax_number": "586-727-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67330 PASCHALK RD",
            "city": "LENOX",
            "state": "MI",
            "postal_code": "480501347",
            "telephone_number": "586-727-3038",
            "fax_number": "586-727-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPF",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RC071894",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "0H24845",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4930419-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.