Lori A Kopulos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3051 Issued in AZ

Practice address

1301 E McDowell Rd
Suite 100
Phoenix, AZ 85006-2621

Phone

(602) 265-8800

Fax

(602) 265-8151

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.06 of 100Reported as group

Quality

85.32

Promoting interoperability

100

Improvement activities

40

Cost

71.56

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Ella E M Brown Charitable Circle

  dba Oaklawn Hospital

  • Psychiatry Physician
  • Marshall, MI
  • NPI 1366591794
  Medicare reassignment
• Ella E M Brown Charitable Circle

  dba Oaklawn Hospital

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467

  Physician Assistant

  NPD
• Ella E M Brown Charitable Circle

  dba Oaklawn Hospital

  • Psychiatry Physician
  • Marshall, MI
  • NPI 1457400806
  NPD
• Ella E M Brown Charitable Circle

  dba Oaklawn Hospital

  • Certified Registered Nurse Anesthetist
  • Marshall, MI
  • NPI 1174672521
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1902998826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E MCDOWELL RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062621",
            "telephone_number": "602-265-8800",
            "fax_number": "602-265-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E MCDOWELL RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062621",
            "telephone_number": "602-265-8800",
            "fax_number": "602-265-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPULOS",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Koppenhoefer-Little, OTR/L
• Sameet Koppikar, DDS
• Zackery Kopping, DC
• Shailaja Devi Koppolu, M.D.
• Sampunarao Koppula, M.D.
• Felix Asiedu Koranteng, PMHNP
• Ron Steven Kordonowy, AT
• Matilda Kordonski
• Katherine Kordsmeier
• Koren Incorporated Dba Aguilas Dos Mil Taxi

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.

Verify at the official NPI Registry.