Individual provider Active NPI

Rene None Koppel, M.D.

  • Procedural Dermatology Physician
  • Metairie, LA
National Provider Identifier
1861459547
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
011353 Issued in LA
Practice address
3640 Houma Blvd
Metairie, LA 70006-4230
Phone
(504) 454-1885
Fax
(504) 454-0925
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 011353 LA Primary

Addresses

Primary practice location

3640 Houma Blvd
Metairie, LA 70006-4230

Mailing address

3640 Houma Blvd
Metairie, LA 70006-4230
Phone (504) 454-1885

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110902000158 LA Practitioner - Dermatology 6608051693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rene Koppel, M.D. - a Professional Medical CorporationGroup PAC ID 1254516248, 3 clinicians

Practice addresses (Care Compare)

3640 Houma Blvd
Metairie, LA 70006-4230
Phone (504) 454-1885

Merit-based Incentive Payment System (MIPS)

Final score
93.94 of 100Reported as individual
Quality
87.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions526
Skin biopsy31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011353LAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rene Koppel, M.D. - a Professional Medical Corporation Dermatology CurrentSince May 1, 2000 Accepting new patients
Rene Koppel, M.D. - a Professional Medical Corporation Dermatology Past Accepting new patients

Locations

502 Rue de Sante
Ste 303
La Place, LA 70068
Phone (504) 473-5589

1111 Medical Center Blvd
Ste S560
Marrero, LA 70072
Phone (504) 340-1742

3640 Houma Blvd
Metairie, LA 70006
Phone (504) 454-1885

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1861459547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064230",
            "telephone_number": "504-454-1885",
            "fax_number": "504-454-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064230",
            "telephone_number": "504-454-1885",
            "fax_number": "504-454-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPEL",
        "first_name": "RENE",
        "middle_name": "NONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": "011353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.