Individual provider Active NPI

Debra Somers Copit, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1720024086
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD045241L Issued in PA
Practice address
5501 Old York Road, Ground Floor - Levy Building
Einstein Radiology Associates
Philadelphia, PA 19141-2421
Phone
(215) 456-6250
Fax
(215) 456-7578
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD045241L PA Primary

Addresses

Primary practice location

5501 Old York Road, Ground Floor - Levy Building
Einstein Radiology Associates
Philadelphia, PA 19141-2421

Mailing address

5501 Old York Road, Ground Floor - Levy Building
Einstein Radiology Associates
Philadelphia, PA 19141-2421
Phone (215) 456-6250

Other identifiers 1

IdentifierTypeStateIssuer
0015280120002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110303000047 PA Practitioner - Diagnostic Radiology 2668654278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

4 Industrial Blvd
Suite 130
Paoli, PA 19301-1605
Phone (610) 994-1136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045241LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Regional Womens Health Group LLC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Regional Women'S Health Group, LLC Diagnostic Radiology Past Accepting new patients

Locations

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

4 Industrial Blvd
Ste 130
Paoli, PA 19301
Phone (610) 994-1136

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

799 Gay St
Phoenixville, PA 19460
Phone (610) 933-2440

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1720024086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK ROAD, GROUND FLOOR - LEVY BUILDING",
            "address_2": "EINSTEIN RADIOLOGY ASSOCIATES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412421",
            "telephone_number": "215-456-6250",
            "fax_number": "215-456-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK ROAD, GROUND FLOOR - LEVY BUILDING",
            "address_2": "EINSTEIN RADIOLOGY ASSOCIATES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412421",
            "telephone_number": "215-456-6250",
            "fax_number": "215-456-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPIT",
        "first_name": "DEBRA",
        "middle_name": "SOMERS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD045241L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015280120002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.