NPIMap

Individual provider Active NPI

Kevin Cope, M.D

  • Family Medicine Physician
  • Broadalbin, NY
National Provider Identifier
1861498248
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
177383 Issued in NY
Practice address
3768 St Hwy 30
Broadalbin, NY 12025
Phone
(518) 883-3121
Fax
(518) 883-3280
NPI assigned
Jun 22, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 177383 NY Primary

Addresses

Primary practice location

3768 St Hwy 30
Broadalbin, NY 12025

Mailing address

PO Box 923
Broadalbin, NY 12025-0923
Phone (518) 883-3121

Other identifiers 1

IdentifierTypeStateIssuer
01226282MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111202000310 NY Practitioner - Family Practice 1759298425 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carondelet Regional Medical PCGroup PAC ID 0840554051, 16 clinicians
Nysarc Inc Fulton County ChapterGroup PAC ID 5890717979, 27 clinicians

Practice addresses (Care Compare)

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010-7550
Phone (518) 843-6914

465 N Perry St
Johnstown, NY 12095-1014
Phone (518) 736-3937

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177383NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cope and Fedullo Medical Services PLLC Family Medicine Current Accepting new patients
Hospice of Fulton County Inc Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
St Marys Healthcare CurrentSince Jul 1, 2018 Accepting new patients
St. Mary's Healthcare CurrentSince Jul 1, 2018 Accepting new patients
Carondelet Regional Medical, PC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Amsterdam Memorial Hospital Past Accepting new patients

Locations

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010
Phone (518) 843-6914

3768 State Highway 30
Amsterdam, NY 12010
Phone (518) 863-3121

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

108 Steele Ave
Gloversville, NY 12078
Phone (518) 725-4545

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

Interoperability endpoints

  • Direct secure messaging: copek@lexclinic.medentdirect.com
  • Direct secure messaging: drkcope@mayercope.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mountain Valley Hospice and Palliative CareGloversville, NY, CCN 331523 Hospice Contracted Managing Employee Jan 2, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861498248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120250923",
            "telephone_number": "518-883-3121",
            "fax_number": "518-883-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 ST HWY 30",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "12025",
            "telephone_number": "518-883-3121",
            "fax_number": "518-883-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "177383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01226282",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadalbin, NY

Sources for this page

Verify at the official NPI Registry.