Individual provider Active NPI

Christopher D Koprowski, M.D.

  • Radiation Oncology Physician
  • Newark, DE
National Provider Identifier
1679517932
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
C10006474 Issued in DE
Practice address
4701 Ogletown Stanton Rd
Ste 1109
Newark, DE 19713-2079
Phone
(302) 623-4800
Fax
(302) 623-4850
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X C10006474 DE Primary
Radiation Oncology Physician 2085R0001X D0058737 MD
Radiation Oncology Physician 2085R0001X MD022600E PA

Addresses

Primary practice location

4701 Ogletown Stanton Rd
Ste 1109
Newark, DE 19713-2079

Mailing address

PO Box 12870
Wilmington, DE 19850-2870
Phone (302) 733-0374

Other identifiers 6

IdentifierTypeStateIssuer
920006915OtherDERAILROAD MEDICARE
P00761474OtherMDRAILROAD MEDICARE
P01311292OtherPARAILROAD MEDICARE
377430901MedicaidMD
000892024MedicaidPA
0001179301MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000505 DE Practitioner - Radiation Oncology 5799711149 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058737MDMDRadiation Oncology Physician
MD022600EPAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
21St Century Oncology of New Jersey, Inc. Radiation Oncology Past Accepting new patients

Organizations & group practices 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1679517932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12870",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198502870",
            "telephone_number": "302-733-0374",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "STE 1109",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132079",
            "telephone_number": "302-623-4800",
            "fax_number": "302-623-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPROWSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "DE",
            "license": "C10006474",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D0058737",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD022600E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920006915",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00761474",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01311292",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377430901",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000892024",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001179301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.