1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Internal Medicine
  6. NPI Profile

MICHAEL KOPUSOV M.D.
NPI 1396196135
Internal Medicine in Brooklyn, NY

Active since June 22, 2016PECOS Enrolled
760 BROADWAY, BROOKLYN, NY 11206(718) 963-8000 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2019, Jun 22, 2016 (2 updates tracked since 2016).

About Michael Kopusov M.d. NPPES

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

MICHAEL KOPUSOV M.D. (NPI 1396196135) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (301456) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1396196135
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL KOPUSOVCredential: M.D.
Location Address760 BROADWAYBrooklyn, NY 11206
Mailing Address9229 Shore Rd Apt 2bBrooklyn, NY 11209-6505 · (917) 628-8175
Phone(718) 963-8000
Sole ProprietorYes
Enumeration DateJune 22, 2016
Last NPPES UpdateOctober 22, 20192 updates tracked since enumeration
✔ NPI 1396196135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 301456
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.

760 BROADWAY, Brooklyn, NY 11206
Open in Google Maps ↗

Secondary Practice Location 1

Location 1294 Webster Ave Apt C6Brooklyn, NY 11230-1251 · Phone (917) 628-8175

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Kopusov M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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 Michael Kopusov's NPI number?

The NPI number for Michael Kopusov is 1396196135. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Michael Kopusov located?

Michael Kopusov practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 963-8000.

What is Michael Kopusov's specialty?

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

Is Michael Kopusov enrolled in Medicare?

Yes. Michael Kopusov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Kopusov was last updated on October 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.