Domenico Coppola, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME69155 Issued in FL

Practice address

10910 Technology Ter
Lakewood Ranch, FL 34211-4930

Phone

(813) 553-3332

Fax

(813) 374-4459

NPI assigned

Jul 5, 2006

Last updated

May 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endoscopy Center of Ocala Inc

  • Gastroenterology Physician
  • Ocala, FL
  • NPI 1609953942
  NPD (past)
• Florida Urology Physicians

  • Urology Physician
  • Fort Myers, FL
  • NPI 1952493280
  NPD (past)
• Metropolitan Urology PSC

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1033323829
  NPD (past)
• Urology Center of FL Physicians Inc

  • Multi-Specialty Clinic/Center
  • Ocala, FL
  • NPI 1396786521
  NPD (past)
• First Urology, PSC

  • Urology Physician
  • Jeffersonville, IN
  • NPI 1922099811

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1730119454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 BAY PLAZA BLVD STE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198403",
            "telephone_number": "813-553-3332",
            "fax_number": "813-374-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 TECHNOLOGY TER",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114930",
            "telephone_number": "813-553-3332",
            "fax_number": "813-374-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9325 Bay Plaza Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336198403",
            "country_code": "US",
            "telephone_number": "813-553-3332",
            "fax_number": "813-374-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "DOMENICO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME69155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Scott Connin, M.D.
• Fernanda Conrado Ferreira
• Maria Consbruck, M.S.
• Constance B Purser MD PL
• Rachel Conway
• Cora Health Services Inc (CORA Physical Therapy Lakewood Ranch)
• Samantha Coron, SLP-A
• Jacob Correnti
• Lauren Grace Cote
• Quinn Cotilla

• Anatomic Pathology & Clinical Pathology Physician in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.