NPIMap

Organization Active NPI

Homedoc, PC

Doing business as Colorado HomeDoc

  • Internal Medicine Physician
  • Erie, CO
National Provider Identifier
1821818832
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOMEDOC, PC
Doing business as
Colorado HomeDoc
Practice address
2584 Reserve St
Erie, CO 80516-2505
Phone
(970) 391-4303
NPI assigned
Oct 14, 2024
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Charles Scott Kopel, MDNPI 1518966415
Title
Cmo
Phone
(970) 391-4303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

2584 Reserve St
Erie, CO 80516-2505

Mailing address

PO Box 479
Erie, CO 80516-0479
Phone (970) 391-4303

Other names 1

  • Colorado HomeDoc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241113002013 CO Part B Supplier - Clinic/Group Practice 2961936927 Receives reassigned benefits from 59 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

8354 E Northfield Blvd
#329
Denver, CO 80238
Phone (720) 607-9207

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1821818832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805160479",
            "telephone_number": "970-391-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2584 RESERVE ST",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162505",
            "telephone_number": "970-391-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEDOC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "KOPEL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "970-391-4303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado HomeDoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.