Active NPI
Christopher F Kopp, M.D.
- Urology Physician
- Fort Myers, FL
National Provider Identifier
1679568596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME145295
- Practice address
- 12995 S Cleveland Ave Ste 184
Fort Myers, FL 33907-7703 - Phone
- (239) 310-5305
- Fax
- (239) 310-5306
- NPI assigned
- Sep 16, 2005
- Last updated
- Dec 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 1773681 | NY | |
| Urology Physician | 208800000X | ME145295 | FL | Primary |
Addresses
Primary practice location
12995 S Cleveland Ave Ste 184
Fort Myers, FL 33907-7703
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
500 Sterling Dr
Orchard Park, NY 14127-1573
Phone (716) 677-2273
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010093401 | Other | NY | UNIVERA |
| 005113202 | Other | NY | COMMUNITY BLUE |
| 161511795 | Other | NY | UNITED HEALTHCARE EMPIRE |
| 0444 | Other | NY | BLUE CROSS ROCHESTER |
| 1904063 | Other | NY | INDEPENDENT HEALTH |
| 161511795 | Other | NY | NOVA |
| 161511795 | Other | NY | NORTH AMERICAN |
| 340013073 | Other | NY | RAILROAD MEDICARE |
| P010177368 | Other | NY | BLUE CHOICE |
| 1099969 | Other | NY | GHI |
| MD4405 | Other | NY | PREFERRED CARE |
| 01380643 | Medicaid | NY | |
| 161511795 | Other | NY | HUMANA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME145295 | FL | MD | Urology Physician |
| 1773681 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1679568596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12995 S CLEVELAND AVE STE 184",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339077703",
"telephone_number": "239-310-5305",
"fax_number": "239-310-5306"
}
],
"practiceLocations": [
{
"address_1": "500 Sterling Dr",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141271573",
"country_code": "US",
"telephone_number": "716-677-2273",
"fax_number": "716-677-2477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPP",
"first_name": "CHRISTOPHER",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "1773681",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME145295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010093401",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "005113202",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE EMPIRE",
"identifier": "161511795",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ROCHESTER",
"identifier": "0444",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1904063",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA",
"identifier": "161511795",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN",
"identifier": "161511795",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340013073",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010177368",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1099969",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MD4405",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01380643",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "161511795",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.