Active NPI
Martin Koeppel
- Psychiatry Physician
- Richmond, CA
National Provider Identifier
1649340654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G20968
- Practice address
- 100 38TH St
Richmond, CA 94805-2207 - Phone
- (510) 231-1261
- Fax
- (510) 231-8551
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G20968 | CA | Primary |
Addresses
Primary practice location
100 38TH St
Richmond, CA 94805-2207
Mailing address
100 38TH St
Richmond, CA 94805-2207
Phone (510) 231-1261
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | 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.
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1649340654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 38TH ST",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948052207",
"telephone_number": "510-231-1261",
"fax_number": "510-231-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 38TH ST",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948052207",
"telephone_number": "510-231-1261",
"fax_number": "510-231-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEPPEL",
"first_name": "MARTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G20968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.