DR. PETER O KUPONIYI (MD) – Addiction Medicine (Internal Medicine) Physician, NPI 1285674010

DR. PETER O KUPONIYI (MD) is a healthcare provider. based in Egg harbor township, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MA059488 (NJ). The NPI Number for DR. PETER O KUPONIYI (MD) is 1285674010

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER O KUPONIYI (MD)
NPI
1285674010
Phone
(609) 568-5000
Address
2626 TILTON RD
Enumeration Date
8 June 2006
Last Update Date
13 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6095685000
Graduation Year
1981 (45 years ago)
PAC ID
0648259317
Group Practice PAC ID
4284613951
Professional Enrollment ID
I20060112000878
Address ID
NJ082341829EG2626XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

Loading map...

Provider Addresses for DR. PETER O KUPONIYI (MD)

  • 2626, Tilton Road, Egg Harbor Township, Atlantic County, New Jersey, 08234, United States

    EGG HARBOR TOWNSHIP, NJ 082341829

    Phone: (609) 568-5000

    Fax: (609) 568-5010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 134 Open Payments records for all available years, with a total value of $2,384.

Total Amount is formed as General ($2,384) + Research ($0) + Ownership ($0) = $2,384.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($504).

Total Amount

$2,384

General + Research + Ownership

Payments

134

Total payment records

General Amount

$2,384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060112000878IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes748246$0
99213Established patient office or other outpatient visit, 20-29 minutes178105$0
G0444Annual depression screening, 5 to 15 minutes132132$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8989$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)6048$0
View full utilization report →

Insurance plans in this area (ZIP 08234)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284613951View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify DR. PETER O KUPONIYI (MD) with an NPI only?
You can start verification with NPI 1285674010 for DR. PETER O KUPONIYI (MD), then check state licensing separately.
Can I rely on DR. PETER O KUPONIYI (MD) being an active provider?
As of the registry snapshot, DR. PETER O KUPONIYI (MD) is marked active.
What is DR. PETER O KUPONIYI (MD)'s specialty?
The listing groups DR. PETER O KUPONIYI (MD) with Addiction Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PETER O KUPONIYI (MD)?
DR. PETER O KUPONIYI (MD)'s geographic hint is Egg Harbor Township, New Jersey in our summary view.
Why does DR. PETER O KUPONIYI (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. WAYNE M LAJEWSKI (M.D.)

Internal Medicine Physician
6102 HAMILTON WAY
NPI: 1558364166

DR. BRAD A OLSON (M.D.)

Addiction Medicine (Internal Medicine) Physician
2250 CHAPEL AVE W STE 120
NPI: 1225032147

DR. THOMAS ROBERT COMERCI (M.D.)

Addiction Medicine (Internal Medicine) Physician
250 WASHINGTON ST STE A6
NPI: 1770581696
6505 S Paris St
NPI: 1003809450

IRA BIRNBAUM (MD)

Addiction Medicine (Internal Medicine) Physician
3, Mayfair Court, Dunhams Corners, East Brunswick Township, Middlesex County, New Jersey, 08816, United States
NPI: 1760476220

DAVID P RUSSO (M.D., FACS)

Addiction Medicine (Internal Medicine) Physician
133 POLK LN
NPI: 1588647143

ERNEST PAUL OSEI-TUTU (MD.)

Internal Medicine Physician
1760, Cooper Road, Scotch Plains, Union County, New Jersey, 07076, United States
NPI: 1740250851