Individual provider Active NPI

Douglas E Coplen, MD

  • Pediatric Urology Physician
  • Saint Louis, MO
National Provider Identifier
1972529295
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
105433 Issued in MO
Practice address
1 Childrens PL
Div Surg Urology Ped, Ste 2a
Saint Louis, MO 63110-1002
Phone
(314) 454-6034
Fax
(314) 454-2876
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 105433 MO Primary

Addresses

Primary practice location

1 Childrens PL
Div Surg Urology Ped, Ste 2a
Saint Louis, MO 63110-1002

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-6034

Other identifiers 1

IdentifierTypeStateIssuer
206977308MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080919000050 MO Practitioner - Urology 2769559699 Reassigns benefits to 4 organizations
I20151208000628 IL Practitioner - UrologyPractitioner - Pediatric MedicinePractitioner - Other (Physician)Practitioner - General Surgery 2769559699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

1 Childrens PL
Saint Louis, MO 63110-1002
Phone (314) 454-6000

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Jan 30, 2013 Accepting new patients
Washington University CurrentSince May 1, 2008 Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 21, 2014 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Nov 1, 2018 Accepting new patients
Washington University Physicians in Illinois, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Lester E Cox Medical Centers CurrentSince Feb 21, 2015 Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 21, 2014 Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Jan 30, 2013 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Washington University CurrentSince May 1, 2008 Accepting new patients
Lester E Cox Medical Centers CurrentSince Feb 21, 2015 Accepting new patients
Washington University Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

660 S Euclid Ave
#C
Saint Louis, MO 63110

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

660 S Euclid Ave
#8242
Saint Louis, MO 63110
Phone (314) 462-0710

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

660 S Euclid Ave
Saint Louis, MO 63110

1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076

1 Childrens Pl
Ste A
Saint Louis, MO 63110
Phone (314) 454-6034

1 Childrens Pl
Ste 2A
Saint Louis, MO 63110
Phone (314) 454-6022

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

1 Barnes Hospital
#P
Saint Louis, MO 63110
Phone (314) 362-9355

4400 Clayton Ave
Saint Louis, MO 63110
Phone (314) 432-3600

1011 E Montclair St
Springfield, MO 65807
Phone (417) 269-1010

Interoperability endpoints

  • Direct secure messaging: douglas.coplen@cernerdirect.coxhealth.com
  • Direct secure messaging: dcoplen154231@direct.carenet.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1972529295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-454-6034",
            "fax_number": "314-454-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "address_2": "DIV SURG UROLOGY PED, STE 2A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101002",
            "telephone_number": "314-454-6034",
            "fax_number": "314-454-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLEN",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "MO",
            "license": "105433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206977308",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Childrens Pl",
            "address_2": "Div Surg Urology Ped, Ste 2A",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.