ALEXANDER KOPP M.D.
NPI 1750454997
Internal Medicine in Newton Lower Falls, MA

NPI Status: Active since November 16, 2006

Contact Information

2000 WASHINGTON ST
SUITE 542
NEWTON LOWER FALLS, MA
ZIP 02462
Phone: (617) 527-6200
Fax: (617) 965-5894

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  • Individual
  • Male
  • Internal Medicine
  • PECOS Enrolled
  • CLIA Number: 22D0939454
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-26-2026

About ALEXANDER KOPP

This page provides the complete NPI Profile along with additional information for Alexander Kopp, an internist established in Newton Lower Falls, Massachusetts with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1750454997 assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number 150509 (MA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1750454997
Provider Name
ALEXANDER KOPP M.D.
Gender
Male
Entity Type
Individual
Location Address
2000 WASHINGTON ST SUITE 542 NEWTON LOWER FALLS, MA 02462
Location Phone
(617) 527-6200
Location Fax
(617) 965-5894
Mailing Address
2000 WASHINGTON ST SUITE 542 NEWTON LOWER FALLS, MA 02462
Mailing Phone
(617) 527-6200
Mailing Fax
(617) 965-5894
Is Sole Proprietor?
No
Enumeration Date
11-16-2006
Last Update Date
11-08-2011
Code Navigator

An internist like Alexander Kopp is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
150509
License State
MA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

150509 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110217745OTHER (01)MARIALROAD MEDICARE
3166716MEDICAID (05)MA 
A225990MEDICARE PIN (08)MA 

Medicare Participation & PECOS Enrollment Status

Alexander Kopp is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 17 times for 16 patients

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

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.

This service was performed 108 times for 108 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 90 times for 85 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 128 times for 127 patients

Colonoscopy

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

This service was performed for 252 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 24 times for 24 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 14 times for 12 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 201 times for 157 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 386 times for 264 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

This service was performed 17 times for 16 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 15 times for 14 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 18 times for 18 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 49 times for 49 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 92 times for 90 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 16 times for 15 patients

Stool analysis for blood, by peroxidase activity

A stool analysis for blood, by peroxidase activity, is a test to detect blood in your stool. This test helps identify bleeding in the digestive tract. It involves collecting a stool sample, which is then checked for the presence of blood using a chemical reaction.

This service was performed 49 times for 49 patients

Upper gastrointestinal (GI) endoscopy for acid reflux

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

This service was performed for 104 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02462 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.11
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $36.02
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.18
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $27.79
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0939454
Facility Type
Physician Office
Certificate Effective Date
January 27, 2024
Certificate Expiration Date
January 26, 2026
Laboratory Director
ALEXANDER KOPP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Alexander Kopp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750454997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100858918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 5 + 8 + 9 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1750454997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MORTON GERALD KAHAN M.D.

Surgery

2000 WASHINGTON ST
STE 365
NEWTON, MA
ZIP 02462

(617) 244-5355

JOANNA MARGARET SENTISSI M.D.

Surgery

2000 WASHINGTON ST
STE 365
NEWTON, MA
ZIP 02462

(617) 244-5355

DON L GOLDENBERG M.D.

Internal Medicine

(Rheumatology)

2000 WASHINGTON ST
STE 304
NEWTON, MA
ZIP 02462

(617) 243-5440

JEFFREY S LAMONT MD

Urology

2000 WASHINGTON ST
STE 443
NEWTON, MA
ZIP 02462

(617) 527-1716

GEORGE D KORNITZER MD

Urology

2000 WASHINGTON ST
STE 443
NEWTON, MA
ZIP 02462

(617) 527-1716

FREDERICK MILLHAM MD

Surgery

2000 WASHINGTON ST
SUITE 670 GREEN
NEWTON, MA
ZIP 02462

(617) 248-6496

BRUCE ALDEN THAYER M.D.

Surgery

2000 WASHINGTON ST
SUITE 665
NEWTON, MA
ZIP 02462

(617) 243-3724

SHEILA K PARTRIDGE M.D.

Surgery

2000 WASHINGTON ST
SUITE 665
NEWTON, MA
ZIP 02462

(617) 243-3724

DR. CHARLES STANLEY BROWN M.D.

Pediatrics

(Adolescent Medicine)

2000 WASHINGTON ST
GREEN BLDG. STE 468
NEWTON, MA
ZIP 02462

(617) 965-6700

DR. ALLAN NORMAN ENGEL M.D.

Internal Medicine

2000 WASHINGTON ST
SUITE 568
NEWTON LOWER FALLS, MA
ZIP 02462

(677) 244-7142

DR. NED SALTZMAN M.D.

Urology

2000 WASHINGTON ST
SUITE 660
NEWTON, MA
ZIP 02462

(617) 332-0116

DR. AVROHM MELNICK MD

Internal Medicine

(Geriatric Medicine)

2000 WASHINGTON ST
NEWTON, MA
ZIP 02462

(617) 964-2299

DR. VICTOR E. CALCATERRA M.D.

Otolaryngology

2000 WASHINGTON ST
SUITE 668
NEWTON, MA
ZIP 02462

(617) 630-1699

MS. CATHERINE E DENNEHY PNP

Nurse Practitioner

(Pediatrics)

2000 WASHINGTON ST
SUITE 468 - GREEN BUILDING
NEWTON, MA
ZIP 02462

(617) 965-6700

ELISSA EHRLICH KAPLAN M.D.

Internal Medicine

(Gastroenterology)

2000 WASHINGTON ST
SUITE 368
NEWTON, MA
ZIP 02462

(617) 969-1227

KARIE LIN DEVRIES MD

Obstetrics & Gynecology

2000 WASHINGTON ST
SUITE 764
NEWTON, MA
ZIP 02462

(617) 965-7800

CELA DOPPELT MD

Obstetrics & Gynecology

(Gynecology)

2000 WASHINGTON ST
SUITE 764
NEWTON, MA
ZIP 02462

(617) 965-7800

VIRGINIA A SIMMONS MD

Obstetrics & Gynecology

2000 WASHINGTON ST
STE 764
NEWTON, MA
ZIP 02462

(617) 965-7800

EMILY Y NEWTON-CHEH MD

Obstetrics & Gynecology

2000 WASHINGTON ST
STE 764
NEWTON, MA
ZIP 02462

(617) 965-7800

BRIAN SALTZMAN M.D.

Urology

2000 WASHINGTON ST
SUITE 660
NEWTON LOWER FALLS, MA
ZIP 02462

(617) 332-0116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750454997, enumerated as an "individual" on November 16, 2006.

The provider is located at 2000 WASHINGTON ST SUITE 542 NEWTON LOWER FALLS, MA 02462 and the phone number is (617) 527-6200.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.