Active NPI
Maria T Kopicki, MD
- Obstetrics & Gynecology Physician
- Amherst, MA
National Provider Identifier
1659565166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 157586
- Practice address
- 65 Country Corners Rd
Amherst, MA 01002-3317 - Phone
- (413) 256-2316
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
Obstetrics & Gynecology
-
- Home Health Agency
- Ann Arbor, MI
- NPI 1063465607
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157586 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Past | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 157586 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
65 Country Corners Rd
Amherst, MA 01002-3317
Mailing address
65 Country Corners Rd
Amherst, MA 01002-3317
Phone (413) 256-2316
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3185958 | Medicaid | MA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2007.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1659565166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 COUNTRY CORNERS RD",
"city": "AMHERST",
"state": "MA",
"postal_code": "010023317",
"telephone_number": "413-256-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 COUNTRY CORNERS RD",
"city": "AMHERST",
"state": "MA",
"postal_code": "010023317",
"telephone_number": "413-256-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPICKI",
"first_name": "MARIA",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "157586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3185958",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.