SAMUEL JOSEPH COPPOLA IV MD
NPI 1386447654
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since March 31, 2025PECOS Enrolled
1430 TULANE AVE # XXXX, NEW ORLEANS, LA 70112(504) 988-7809(504) 988-3971 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Joseph Coppola Iv Md NPPES

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

SAMUEL JOSEPH COPPOLA IV MD (NPI 1386447654) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386447654
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL JOSEPH COPPOLA IVCredential: MD
Location Address1430 TULANE AVE # XXXXNew Orleans, LA 70112-2632
Mailing Address1430 Tulane Ave # XxxxNew Orleans, LA 70112-2632 · (504) 988-7809 · Fax (504) 988-3971
Fax(504) 988-3971
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1386447654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1430 TULANE AVE # XXXX, New Orleans, LA 70112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Joseph Coppola Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # XXXX
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # XXXX
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # XXXX
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # XXXX
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # XXXX
NEW ORLEANS, LA 70112
Hospitalist
1430 TULANE AVE # XXXX
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # XXXX
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # XXXX
NEW ORLEANS, LA 70112

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 Samuel Coppola's NPI number?

The NPI number for Samuel Coppola is 1386447654. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Samuel Coppola located?

Samuel Coppola practices at 1430 Tulane Ave # Xxxx, New Orleans, LA 70112. The listed phone number is (504) 988-7809.

What is Samuel Coppola's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Coppola enrolled in Medicare?

Yes. Samuel Coppola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Coppola was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.