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BEENA KOPPUZHA MD PA
NPI 1194766550
Internal Medicine in Englewood, FL

Active since June 09, 2006
1141 S MCCALL RD, ENGLEWOOD, FL 34223(941) 475-6568(941) 474-6706 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Beena Koppuzha Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEENA KOPPUZHA MD PA (NPI 1194766550) is a healthcare organization registered as an internal medicine in Englewood, Florida and active in the NPI registry since June 2006. The organization lists Beena C Koppuzha, Physician, as its authorized official.

NPPES Registry Identity

NPI1194766550
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEENA KOPPUZHA MD PA
Location Address1141 S MCCALL RDEnglewood, FL 34223-4229
Mailing Address1141 S Mccall RdEnglewood, FL 34223-4229 · (941) 475-6568 · Fax (941) 474-6706
Phone(941) 475-6568
Fax(941) 474-6706
Organization SubpartNo
Authorized OfficialBeena C KoppuzhaPhysician · (941) 475-6568
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 16, 2010
✔ NPI 1194766550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0075143
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1141 S MCCALL RD, Englewood, FL 34223
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedK7289FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beena Koppuzha Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beena Koppuzha MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Beena Koppuzha, M.D.
Internal Medicine
NPI 1710938402
3937 S ACCESS RD
Englewood, FL 34224
(941) 475-6568
✔ PECOS✔ Accepts Medicare4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beena Koppuzha MD PA's NPI number?

The NPI number for Beena Koppuzha MD PA is 1194766550. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Beena Koppuzha MD PA located?

Beena Koppuzha MD PA is located at 1141 S Mccall Rd, Englewood, FL 34223. The listed phone number is (941) 475-6568.

What is Beena Koppuzha MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Beena Koppuzha MD PA enrolled in Medicare?

Yes. Beena Koppuzha MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beena Koppuzha MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Beena Koppuzha MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beena Koppuzha MD PA was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.