Michael Patrick Coppola, M.D.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

D74925 Issued in MD

Practice address

801 Cromwell Park Dr
Suite 108
Glen Burnie, MD 21061-2539

Phone

(410) 590-0443

Fax

(410) 590-4403

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.coppola@244719532572676.direct.elationemr.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.

• Springfield Medical Associates, Inc

  • Multi-Specialty Clinic/Center
  • Springfield, MA
  • NPI 1386661148
  NPD Authorized official
• Bioserenity USA Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Baltimore, MD
  • NPI 1457992604
  NPD (past)
• Novasom Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Glen Burnie, MD
  • NPI 1487652053
  NPD (past)
• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1790724052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CROMWELL PARK DR",
            "address_2": "SUITE 108",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612539",
            "telephone_number": "410-590-0443",
            "fax_number": "410-590-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CROMWELL PARK DR",
            "address_2": "SUITE 108",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612539",
            "telephone_number": "410-590-0443",
            "fax_number": "410-590-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MD",
            "license": "D74925",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D74925",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6193374",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "054100",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "11550",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J04196",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Cooper, RN
• Nancy Cooper
• Allison Marie Cope
• Sydney Cope, DPT
• Leigh Copeland, LCSW
• Sean Nicholas Corcoran
• Alexis Corley
• Christine Corry, LCSW-C
• Lauren Corsiglia, CRNP
• Izabella Marie Cortez-Palmer

• Sleep Medicine (Internal Medicine) Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Sleep Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.