NPIMap

Organization Active NPI

Dimitri Coupet MD PC

Doing business as Coupet Family Medicine

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1841944345
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIMITRI COUPET MD PC
Doing business as
Coupet Family Medicine
Practice address
14201 Laurel Park Dr Ste 106
Laurel, MD 20707-5203
Phone
(240) 264-6595
Fax
(240) 360-5934
NPI assigned
Feb 4, 2022
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Dr. Dimitri Coupet, MDNPI 1649698200
Title
Chief Executive Officer
Phone
(516) 849-7821

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

14201 Laurel Park Dr Ste 106
Laurel, MD 20707-5203

Mailing address

14201 Laurel Park Dr Ste 106
Laurel, MD 20707-5203
Phone (240) 264-6595

Other names 1

  • Coupet Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220308002132 DC Part B Supplier - Clinic/Group Practice 9335533389 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD

National Provider Directory

National Provider Directory

Locations

14201 Laurel Park Dr
Ste 106
Laurel, MD 20707
Phone (240) 264-6595

9101 Cherry Ln
Ste 109
Laurel, MD 20708
Phone (240) 264-6595

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1841944345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "240-264-6595",
            "fax_number": "240-360-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "240-264-6595",
            "fax_number": "240-360-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI COUPET MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "COUPET",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "516-849-7821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coupet Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coupet Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.