Active NPI
Kamden Kopani
- Ophthalmology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 254753
- Practice address
- 800 Washington St
Box 450
Boston, MA 02111-1552 - Phone
- (617) 636-0626
- Fax
- (617) 636-4866
- NPI assigned
- Jun 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 254753 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Box 450
Boston, MA 02111-1552
Mailing address
800 Washington St
Box 450
Boston, MA 02111-1552
Phone (617) 636-0626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Harvard Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Nevins St
Brighton, MA 02135-3514
Phone (617) 783-5050
1440 Main St
Waltham, MA 02451-1631
Phone (781) 891-9300
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487
Hospital & facility affiliations
- Tufts Medical Center
- South Shore Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 148 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254753 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Ophthalmology Associates, Inc | Current | Accepting new patients | |
| Pratt Ophthalmology Associates Inc | Ophthalmology | Current | Accepting new patients |
Locations
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
800 Washington St
#450
Boston, MA 02111
Phone (617) 636-4600
50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
800 Washington St
#1
Boston, MA 02111
1440 Main St
Ste 201
Waltham, MA 02451
Phone (781) 891-6377
Interoperability endpoints
- kkopani29442@tuftsmedicine.direct-ci.com
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.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1083660534
-
- Optician
- Brighton, MA
- NPI 1063531648
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1902034259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "BOX 450",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-0626",
"fax_number": "617-636-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "BOX 450",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-0626",
"fax_number": "617-636-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPANI",
"first_name": "KAMDEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "254753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.