JONATHAN RONSON KOPPEL
NPI 1568025401
Internal Medicine in New York, NY

Q: What is Jonathan Koppel's NPI number?

The NPI number for Jonathan Koppel is 1568025401. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Q: What is Jonathan Koppel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Koppel was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment

2109 BROADWAY, NEW YORK, NY 10023(212) 523-8672(212) 492-5505 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2022, Apr 16, 2019 (2 updates tracked since 2019).

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About Jonathan Ronson Koppel NPPES

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

JONATHAN RONSON KOPPEL (NPI 1568025401) is an individual internal medicine provider in New York, New York, licensed in New York (315668) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1568025401

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJONATHAN RONSON KOPPEL

Location Address2109 BROADWAYNew York, NY 10023-2138

Mailing Address710 Park Ave Apt 15aNew York, NY 10021-4946 · (516) 359-2008

Phone(212) 523-8672

Fax(212) 492-5505

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 16, 2019

Last NPPES UpdateApril 22, 20222 updates tracked since enumeration

NPPES CertifiedApril 22, 2022

✔ NPI 1568025401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 315668

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2109 BROADWAY, New York, NY 10023

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Secondary Practice Locations 3

Location 11000 10th AveNew York, NY 10019-1147 · Phone (212) 523-4000

Location 21468 Madison AveNew York, NY 10029-6508 · Phone (212) 241-6500

Location 31111 Amsterdam AveNew York, NY 10025-1716 · Phone (212) 523-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Ronson Koppel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002148061

PECOS Enrollment IDI20220810000580

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

338 services227 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

301 services198 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

117 services100 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

93 services93 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

66 services64 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

62 services61 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330046

Location1000 Tenth AvenueNew York, NY 10019 · New York County

Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330270

Location535 East 70th StreetNew York, NY 10021 · New York County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

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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.

MR. JOHN MCCANDLISH PT

Physical Therapist

2109 BROADWAY, SUITE 204
NEW YORK, NY 10023

New York County (212) 799-0160

HEATHER SUZANNE VIOLA

Internal Medicine