Individual provider Active NPI

Arjun Cooper

  • Audiologist
  • Ypsilanti, MI
National Provider Identifier
1053045286
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001138 Issued in MI
Practice address
5333 McAuley Dr RM 2016
Ypsilanti, MI 48197-1096
Phone
(734) 221-5080
NPI assigned
Jul 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006838 PA
Audiologist 231H00000X 1601001138 MI Primary

Addresses

Primary practice location

5333 McAuley Dr RM 2016
Ypsilanti, MI 48197-1096

Mailing address

5333 McAuley Dr RM 2016
Ypsilanti, MI 48197-1096
Phone (734) 221-5080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002835 MI Practitioner - Qualified Audiologist 0547642712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Otolaryngology SurgeryGroup PAC ID 1759442627, 20 clinicians

Practice addresses (Care Compare)

5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Otolaryngolgy Surgery CurrentSince Feb 5, 2024 Accepting new patients
Michigan Otolaryngology Surgery CurrentSince Feb 5, 2024 Accepting new patients

Locations

5333 McAuley Dr
Rm 2017
Ypsilanti, MI 48197
Phone (734) 434-3200

5333 McAuley Dr
Rm 2016
Ypsilanti, MI 48197
Phone (734) 221-5080

Interoperability endpoints

  • Direct secure messaging: arjun.cooper.1@15595.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1053045286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2016",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971096",
            "telephone_number": "734-221-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2016",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971096",
            "telephone_number": "734-221-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ARJUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006838",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.