NPIMap

Individual provider Active NPI

Thomas E Kupper, MD

  • Interventional Cardiology Physician
  • Troy, OH
National Provider Identifier
1699771766
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35052300K Issued in OH
Practice address
3006 N County Road 25a
Suite 104
Troy, OH 45373-1373
Phone
(937) 335-3518
Fax
(937) 332-6857
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35052300K OH
Interventional Cardiology Physician 207RI0011X 35052300K OH Primary

Addresses

Primary practice location

3006 N County Road 25a
Suite 104
Troy, OH 45373-1373

Mailing address

3006 N County Road 25a
Suite 104
Troy, OH 45373-1373
Phone (937) 335-3518

Other identifiers 1

IdentifierTypeStateIssuer
0600102MedicaidOH

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
35052300KOHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dayton Cardiac Electrophysiology Associates, Inc. Past Accepting new patients
Non-Invasive Interpretations Cardiovascular Disease Past Accepting new patients
Premier Health Specialists Inc Past Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Non-Invasive Interpretations LLC Cardiovascular Disease Past Accepting new patients

Organizations & group practices 6

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1699771766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 N COUNTY ROAD 25A",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731373",
            "telephone_number": "937-335-3518",
            "fax_number": "937-332-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N COUNTY ROAD 25A",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731373",
            "telephone_number": "937-335-3518",
            "fax_number": "937-332-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPER",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35052300K",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35052300K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.