Active NPI
Steven M Koppel, MD
- Anesthesiology Physician
- Highland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036084855
- Practice address
- 718 Glenview Ave
Highland Park Hospital
Highland Park, IL 60035-2432 - Phone
- (847) 480-3852
- Fax
- (847) 480-3712
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036084855 | IL | Primary |
| Anesthesiology Physician | 207L00000X | 32743 | WI |
Addresses
Primary practice location
718 Glenview Ave
Highland Park Hospital
Highland Park, IL 60035-2432
Mailing address
2650 Ridge Ave
Evanston Hospital
Evanston, IL 60201-1718
Phone (847) 570-1206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036084855 | IL | MD | Anesthesiology Physician |
| 32743 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Anesthesiology | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Midwest Center for Women's Health Care, LTD. | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
777 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3744
767 Park Ave W
Ste 220
Highland Park, IL 60035
Phone (847) 432-7222
9697 Saint Catherines Dr
Pleasant Prairie, WI 53158
Phone (262) 577-8141
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- skoppel642819@direct.froedtert.com
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Pleasant Prairie, WI
- NPI 1821831975
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Anesthesiology
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Anesthesiology
-
- Anesthesiology Physician
- Brookfield, WI
- NPI 1558195719
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1801620067
-
- Obstetrics & Gynecology Physician
- Bannockburn, IL
- NPI 1447200654
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1811912306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "EVANSTON HOSPITAL",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-1206",
"fax_number": "847-570-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 GLENVIEW AVE",
"address_2": "HIGHLAND PARK HOSPITAL",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352432",
"telephone_number": "847-480-3852",
"fax_number": "847-480-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPPEL",
"first_name": "STEVEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036084855",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "32743",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.