Philip A Kopell, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

3208411205 Issued in UT

Practice address

719 W 400 N
Moab, UT 84532-2239

Phone

(435) 259-7191

NPI assigned

Jan 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Anesthesiology

Education

State University of New York Downstate Medical Center, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moab Valley Healthcare, Inc. 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moab Regional Hospital Hospital, Moab, UT, CCN 461302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: philipk@mrhmoab.securechart.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.

• Moab Valley Healthcare, Inc

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236

  UT

  Medicare reassignment Care Compare group
• Moab Valley Healthcare, Inc.

  • Community/Retail Pharmacy
  • Moab, UT
  • NPI 1235918962
  Care Compare group
• Moab Valley Healthcare, Inc.

  • Methadone Clinic
  • Moab, UT
  • NPI 1285380394
  NPD

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

• Moab Valley Healthcare, Inc

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236

  Hospital

  Care Compare affiliation
• Moab Valley Healthcare, Inc.

  • Methadone Clinic
  • Moab, UT
  • NPI 1285380394

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1821078486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W 400 N",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322239",
            "telephone_number": "435-259-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPELL",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "3208411205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1635",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reece Matthew Karns, PTA
• James Kempa, MD
• Sean Killary
• Paul Edward Kionka, OT
• Alexandra Kirczow, RN
• Michael A Kueber Jr., MD
• Anna Lambert
• Jon Lawson Landeen, MD
• Donald T Leathers, ND
• James A Lewis, PT

• All providers in Moab, UT
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.