Active NPI
Lisa Kop, MD
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1962189415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- HS000003L
- Practice address
- Albert Einstein Medical Center
5501 Old York Road
Philadelphia, PA 19141 - Phone
- (484) 622-0968
- NPI assigned
- Jun 28, 2023
- Last updated
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | HS000003L | PA | Primary |
Addresses
Primary practice location
Albert Einstein Medical Center
5501 Old York Road
Philadelphia, PA 19141
Mailing address
Albert Einstein Medical Center
5501 Old York Road
Philadelphia, PA 19141
Phone (484) 622-0968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250211000789 | RI | Order and Referring Only - Internal Medicine | 3173053857 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HS000003L | PA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1962189415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALBERT EINSTEIN MEDICAL CENTER",
"address_2": "5501 OLD YORK ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "484-622-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALBERT EINSTEIN MEDICAL CENTER",
"address_2": "5501 OLD YORK ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "484-622-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOP",
"first_name": "LISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "HS000003L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.