Individual provider Active NPI

John Curtis Kopko, DO

  • Family Medicine Physician
  • Mishawaka, IN
National Provider Identifier
1841728599
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02007995A Issued in IN
Practice address
609 Tanglewood LN
Mishawaka, IN 46545-2625
Phone
(574) 277-2500
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02007995A IN Primary

Addresses

Primary practice location

609 Tanglewood LN
Mishawaka, IN 46545-2625

Mailing address

313 E Lasalle Ave Apt 305D
South Bend, IN 46617-2767
Phone (724) 757-3818

Other practice location 1

4401 W Western Ave Ste C
South Bend, IN 46619-2645
Phone (574) 725-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201102002001 WV Practitioner - Family Practice 7618247982 Reassigns benefits to 1 organization
I20241025003414 IN Practitioner - Family Practice 7618247982 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians

Practice addresses (Care Compare)

402 19TH St
Tell City, IN 47586-1110
Phone (248) 660-1220

4401 W Western Ave
Suite C
South Bend, IN 46619-2645
Phone (574) 725-7006

5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hansamssp LLC CurrentSince Jan 1, 2026 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Oct 15, 2020 Accepting new patients
Theoria Medical CurrentSince Jul 29, 2024 Accepting new patients
West Virginia University Hospitals Inc Family Medicine CurrentSince Oct 15, 2020 Accepting new patients
Osh-in Physicians Group, PC Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jul 14, 2025 Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients

Locations

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

501 S Murphy Ave
Brazil, IN 47834
Phone (812) 442-0403

2905 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5491

1700 I St
Laporte, IN 46350
Phone (219) 362-6234

521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777

811 E 12th St
Mishawaka, IN 46544
Phone (574) 249-1917

609 Tanglewood Ln
Mishawaka, IN 46545
Phone (574) 277-2500

4401 W Western Ave
Ste C
South Bend, IN 46619
Phone (574) 725-7006

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

402 19th St
Tell City, IN 47586
Phone (812) 547-3427

251 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-6158

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

608 Cheat Rd
Morgantown, WV 26508
Phone (304) 594-1313

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Organizations & group practices 8

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 5

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1841728599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E LASALLE AVE APT 305D",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172767",
            "telephone_number": "724-757-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 TANGLEWOOD LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452625",
            "telephone_number": "574-277-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 W Western Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466192645",
            "country_code": "US",
            "telephone_number": "574-725-7006",
            "fax_number": "574-807-9614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPKO",
        "first_name": "JOHN",
        "middle_name": "CURTIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02007995A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.