Individual provider Active NPI

Anna K Hopla, MD

  • Nephrology Physician
  • Martin, TN
National Provider Identifier
1780683102
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD26278 Issued in TN
Practice address
148 Mount Pelia Rd
Martin, TN 38237-3812
Phone
(731) 200-0365
Fax
(731) 200-0366
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD26278 TN Primary

Addresses

Primary practice location

148 Mount Pelia Rd
Martin, TN 38237-3812

Mailing address

148 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 200-0365

Other identifiers 8

IdentifierTypeStateIssuer
1985133OtherAMERIGROUP
T215215542OtherTNMEDICARE
4337915OtherAETNA
870643OtherWELLCARE
3088571MedicaidTN
3006275OtherTNBLUE CROSS BLUE SHIELD
3064296OtherTNBCBS - NEPHROLOGY
P02632436OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050131000759 TN Practitioner - Nephrology 9335046879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Oklahoma College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

148 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 200-0365

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26278TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Medical Center, P.C. Current Accepting new patients
Martin Medical Center, P.C. CurrentSince Mar 1, 1995 Accepting new patients
Anna K Hopla MD PLLC Nephrology CurrentSince Jun 30, 2021 Accepting new patients

Locations

764 Walnut Knoll Ln
Cordova, TN 38018
Phone (901) 756-5565

117 Kennedy Dr
Martin, TN 38237
Phone (731) 587-9511

148 Mount Pelia Rd
Martin, TN 38237
Phone (731) 200-0365

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEDFCD
  • Direct secure messaging: anna.hopla@annahoplamd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEDFCD/Endpoint/JEDFCD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Martin Medical Center PCMartin, TN, CCN 448990 Rural health clinic 5% Or Greater Direct Ownership Interest (33.3%)
Corporate Officer
Aug 1, 2017
Aug 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1780683102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373812",
            "telephone_number": "731-200-0365",
            "fax_number": "731-200-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373812",
            "telephone_number": "731-200-0365",
            "fax_number": "731-200-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPLA",
        "first_name": "ANNA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD26278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1985133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "T215215542",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4337915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "870643",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088571",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3006275",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - NEPHROLOGY",
            "identifier": "3064296",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02632436",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.