Mark Alan Koponen, M.D.
NPI 1336397553ActiveIndividual· Pathology, Forensic Pathology· Grand Forks, ND
Pathology, Forensic Pathology (M.D.) in Grand Forks, North Dakota, licensed in ND, MN, NM and MT and other states, with an NPI issued in August 2008.
Overview
| NPI | 1336397553 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2008 |
| Last updated in NPPES | Nov 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Forensic Pathology Primary | 207ZF0201X | 11172 | ND |
| Pathology, Forensic Pathology | 207ZF0201X | 52274 | MN |
| Pathology, Forensic Pathology | 207ZF0201X | 88-39 | NM |
| Pathology, Forensic Pathology | 207ZF0201X | 10086 | MT |
| Pathology, Forensic Pathology | 207ZF0201X | 34173 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pathology, Forensic Pathology providers in Grand Forks
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