Beena C Koppuzha, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0075143 Issued in FL

Practice address

3937 S Access Rd
Englewood, FL 34224-3612

Phone

(941) 475-6568

Fax

(855) 250-3332

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
• Amedisys Home Health Home health agency, Venice, FL, CCN 107522
• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkoppuzha@ppdxdirect.com

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.

• Beena Koppuzha MD PA

  • Internal Medicine Physician
  • Englewood, FL
  • NPI 1194766550
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Florida, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Venice, FL
  • NPI 1992753768
  Care Compare affiliation
• Englewood Community Hospital, Inc.

  dba HCA Florida Englewood Hospital

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864
  Care Compare affiliation
• Patients First Home Care, LLC

  • Home Health Agency
  • Sarasota, FL
  • NPI 1245845312
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1710938402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 S ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342243612",
            "telephone_number": "941-475-6568",
            "fax_number": "855-250-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 S ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342243612",
            "telephone_number": "941-475-6568",
            "fax_number": "855-250-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPUZHA",
        "first_name": "BEENA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0075143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Knapp, MD
• James Edward Knapp, MD
• Terri Knight, FNP
• Susan Kollmar, CRNA
• Mark Konwiser, M.D.
• Tad Robert Kosanovich, O.D.
• Jada L Kouba, LCPC
• Elizabeth G Krupa, RPT
• Jerry E Kuhn, MS, MBA, LMHC
• Maureen Kulsar

• Internal Medicine Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.