Organization Active NPI

Hartland Family Physicians PC

  • Family Medicine Physician
  • Hartland, MI
National Provider Identifier
1962548479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MK008618 Issued in MI
Legal business name
HARTLAND FAMILY PHYSICIANS PC
Practice address
11150 Highland Rd
Hartland, MI 48353-2702
Phone
(810) 632-6380
Fax
(810) 632-6601
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Kopel, D.O.NPI 1437264645
Title
President
Phone
(810) 632-6380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MK008618 MI Primary

Addresses

Primary practice location

11150 Highland Rd
Hartland, MI 48353-2702

Mailing address

11150 Highland Rd
Hartland, MI 48353-2702
Phone (810) 632-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000753 MI Part B Supplier - Clinic/Group Practice 6204937360 Receives reassigned benefits from 3 practitioners
Practice locations: Hartland, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0959053Hartland Family Physicians PC11150 Highland Road, Hartland, MI 48353Provider-performed microscopyMar 31, 2027

National Provider Directory

National Provider Directory

Locations

11150 Highland Rd
Hartland, MI 48353
Phone (810) 632-6380

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9875/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962548479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532702",
            "telephone_number": "810-632-6380",
            "fax_number": "810-632-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532702",
            "telephone_number": "810-632-6380",
            "fax_number": "810-632-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLAND FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-632-6380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MK008618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.