Gerald Max Koppes, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

E3343 Issued in TX

Practice address

525 Oak Centre Dr Ste 270
San Antonio, TX 78258-3917

Phone

(210) 270-2992

Fax

(210) 224-7898

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Kansas School of Med (KC/Wich/Sal), 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.18 of 100Reported as individual

Quality

30

Improvement activities

40

Cost

43.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBBECA/Endpoint/CBBECA

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.

• San Antonio Heart PLLC

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1053758045
  Medicare reassignment NPD Authorized official
• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oak Brook Terrace, IL
  • NPI 1770830606
  NPD
• Methodist Medical Group, PLLC

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1982979605
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1922081900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 270",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583917",
            "telephone_number": "210-270-2992",
            "fax_number": "210-224-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 270",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583917",
            "telephone_number": "210-270-2992",
            "fax_number": "210-224-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPES",
        "first_name": "GERALD",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E3343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1371692-14",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01267088",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine A Kopecki
• Sarah M Kopf, APRN
• Amanda Koplin, LPC
• Erik John Koppang, M.D.
• Nicole Heather Koppenhaver, DPT
• Prathibha Korah, APRN
• Meghan Korb
• Rachel Korban, M.ED., BCBA, LBA
• Hafez Kordab, PA-C
• Nada Ballout Kordab, D.D.S.

• Cardiovascular Disease Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.