Organization Active NPI

Matthew H Kopera MD PLC

  • Orthopaedic Surgery Physician
  • Troy, MI
National Provider Identifier
1982873345
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301076518 Issued in MI
Legal business name
MATTHEW H KOPERA MD PLC
Practice address
6905 Rochester Rd
Suite C
Troy, MI 48085
Phone
(248) 828-1100
Fax
(248) 828-1101
NPI assigned
Feb 29, 2008
Last updated
Dec 19, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MATTHEW H KOPERA MD PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Matthew Kopera, MDNPI 1750340170
Title
Owner
Phone
(248) 828-1100

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
Orthopaedic Surgery Physician 207X00000X 4301076518 MI Primary

Addresses

Primary practice location

6905 Rochester Rd
Suite C
Troy, MI 48085

Mailing address

6905 Rochester Rd
Troy, MI 48085-1282
Phone (248) 828-1100

Other identifiers 2

IdentifierTypeStateIssuer
200E024660OtherBCBS
2005022282OtherBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000431 MI Part B Supplier - Clinic/Group Practice 4385721844 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI; Shelby Township, MI

National Provider Directory

National Provider Directory
Part of
Matthew H Kopera MD PLC

Locations

53950 Van Dyke Ave
Ste A
Shelby Township, MI 48316
Phone (248) 215-8095

43184 Dequindre Rd
Ste 208
Sterling Heights, MI 48314
Phone (586) 997-5000

4550 Investment Dr
Ste 240
Troy, MI 48098
Phone (248) 792-9881

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7140/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1982873345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851282",
            "telephone_number": "248-828-1100",
            "fax_number": "248-828-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 ROCHESTER RD",
            "address_2": "SUITE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-828-1100",
            "fax_number": "248-828-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW H KOPERA MD PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEW H KOPERA MD PLC",
        "enumeration_date": "2008-02-29",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "KOPERA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-828-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301076518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "200E024660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2005022282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.