KAMRON KINGSLEY GOPFFARTH DO
NPI 1770436875
Student in an Organized Health Care Education/Training Program in O Fallon, IL

Active since February 18, 2026PECOS Enrolled
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 256-9355(618) 206-2332 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kamron Kingsley Gopffarth Do NPPES

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

KAMRON KINGSLEY GOPFFARTH DO (NPI 1770436875) is an individual student in an organized health care education/training program in O Fallon, Illinois and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770436875
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKAMRON KINGSLEY GOPFFARTHCredential: DO
Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 256-9355 · Fax (618) 206-2332
Fax(618) 206-2332
Sole ProprietorNo
Enumeration DateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
NPI 1770436875 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.
3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kamron Kingsley Gopffarth Do 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 20

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
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269

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 Kamron Gopffarth's NPI number?

The NPI number for Kamron Gopffarth is 1770436875. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Where is Kamron Gopffarth located?

Kamron Gopffarth practices at 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269. The listed phone number is (618) 256-9355.

What is Kamron Gopffarth's specialty?

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

Is Kamron Gopffarth enrolled in Medicare?

Yes. Kamron Gopffarth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kamron Gopffarth was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.