NPIMap

Individual provider Active NPI

Amir Alikhani-Koopaei, DPM

  • Podiatrist
  • Erie, PA
National Provider Identifier
1780255141
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC007218 Issued in PA
Practice address
5515 Peach St
Erie, PA 16509-2603
Phone
(814) 868-8217
NPI assigned
Jul 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC007218 PA Primary

Addresses

Primary practice location

5515 Peach St
Erie, PA 16509-2603

Mailing address

2108 Harrisburg Pike
Ste 329
Lancaster, PA 17601-2644
Phone (866) 871-0851

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://connect.mch1.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822003396 PA Practitioner - Podiatry 0648770735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Sep 15, 2025 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 15, 2025 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2108 Harrisburg Pike
Ste 329
Lancaster, PA 17601
Phone (610) 504-9763

538 N Queen St
Ste 200
Lancaster, PA 17603
Phone (717) 393-1900

51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

950 S Octorara Trl
Ste 160170
Parkesburg, PA 19365
Phone (866) 871-0851

203 Commerce Dr
Ste G
Quarryville, PA 17566
Phone (717) 284-3137

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical Group 590 clinicians

Practice addresses (Care Compare)

203 Commerce Dr
Quarryville, PA 17566-9020
Phone (866) 871-0851

Hospital & facility affiliations

  • Penn Medicine Home Health Lancaster General Health Home health agency, Lancaster, PA, CCN 397013
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions13
Removal of nail tissue22
Removal or shaving of skin growth13
Skin biopsy1-10

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1780255141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 HARRISBURG PIKE",
            "address_2": "STE 329",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "866-871-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-868-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIKHANI-KOOPAEI",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://connect.mch1.org/",
            "affiliation": "N",
            "address_1": "5515 Peach St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165092603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.