Individual provider Active NPI

Sharon Monica Kopacz, MD

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1952552333
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A105590 Issued in CA
Practice address
7050 N Recreation Ave
Suite 102
Fresno, CA 93720-8001
Phone
(559) 322-2930
Fax
(559) 322-2901
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A105590 CA Primary

Addresses

Primary practice location

7050 N Recreation Ave
Suite 102
Fresno, CA 93720-8001

Mailing address

7050 N Recreation Ave
Suite 102
Fresno, CA 93720-8001
Phone (559) 322-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130130000094 CA Practitioner - Obstetrics/Gynecology 9537313416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7050 N Recreation Ave
Suite 102
Fresno, CA 93720-8001
Phone (559) 322-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105590CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Women's Medical Group, Inc. Obstetrics & Gynecology CurrentSince Nov 5, 2013 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Fresno Surgery Center LP Past Accepting new patients

Locations

726 N Medical Center Dr E
Ste 221
Clovis, CA 93611
Phone (559) 322-2900

7050 N Recreation Ave
Ste 102
Fresno, CA 93720
Phone (559) 322-2900

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1952552333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-322-2930",
            "fax_number": "559-322-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-322-2930",
            "fax_number": "559-322-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACZ",
        "first_name": "SHARON",
        "middle_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A105590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.