Individual provider Active NPI

Trevor Cook, MD, AP

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1063926343
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017033635 Issued in MS
Practice address
16 Hampton Village PLZ Ste 274
Saint Louis, MO 63109-2111
Phone
(314) 312-3378
NPI assigned
Nov 26, 2017
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017033635 MS Primary

Addresses

Primary practice location

16 Hampton Village PLZ Ste 274
Saint Louis, MO 63109-2111

Mailing address

16 Hampton Village PLZ Ste 274
Saint Louis, MO 63109-2111
Phone (314) 312-3378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16 Hampton Village PLZ
Suite 274
Saint Louis, MO 63109-2109

1600 Locust St Unit
Suite 706
Saint Louis, MO 63103-1856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017033635MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine for Medicine LLC Family Medicine CurrentSince Mar 1, 2021 Accepting new patients

Locations

16 Hampton Village Plz
Ste 274
Saint Louis, MO 63109
Phone (314) 312-3378

Interoperability endpoints

  • Direct secure messaging: trevor.cook@404276226555908.direct.elationemr.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1063926343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ STE 274",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092111",
            "telephone_number": "314-312-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ STE 274",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092111",
            "telephone_number": "314-312-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TREVOR",
        "credential": "MD, AP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-26",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "2017033635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.