Individual provider Active NPI

Noah Eamon Cook, M.D.

  • Pulmonary Disease Physician
  • Roseville, CA
National Provider Identifier
1093057564
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A142961 Issued in CA
Practice address
5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867
Phone
(916) 786-7498
Fax
(916) 786-2715
NPI assigned
Mar 22, 2013
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A142961 CA
Pulmonary Disease Physician 207RP1001X A142961 CA Primary
Hospitalist Physician 208M00000X A142961 CA

Addresses

Primary practice location

5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867

Mailing address

1300 Ethan Way Ste 600
Sacramento, CA 95825-2296
Phone (916) 482-7623

Other names 1

  • Noah Eamon Moon-Cook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160830000900 CA Practitioner - Internal Medicine 6406141456 Reassigns benefits to 3 organizations
I20260312003013 CA Practitioner - Pulmonary Disease 6406141456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Pulmonary Consultants and Wellness Center Inc PCGroup PAC ID 9830418342, 29 clinicians

Practice addresses (Care Compare)

501 E Hardy St
Suite 160
Inglewood, CA 90301-4033
Phone (310) 295-0075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
69.99
Promoting interoperability
100
Improvement activities
30
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142961CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 9, 2016 Accepting new patients
Pulmonary Medicine Associates Sleep Lab Inc. Pulmonary Disease CurrentSince Nov 16, 2022 Accepting new patients
Pulmonary Medicine Associates Medical Group, Inc Pulmonary Disease CurrentSince Nov 16, 2022 Accepting new patients
Pulmonary Consultants and Wellness Center Inc PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Concord Hospitalist Group a Medical Corporation Hospitalist CurrentSince Nov 8, 2017 Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

501 E Hardy St
Ste 160
Inglewood, CA 90301
Phone (310) 295-0075

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

Interoperability endpoints

  • Direct secure messaging: ncook651667@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1093057564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296",
            "telephone_number": "916-482-7623",
            "fax_number": "916-482-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR STE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612867",
            "telephone_number": "916-786-7498",
            "fax_number": "916-786-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "NOAH",
        "middle_name": "EAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A142961",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A142961",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A142961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOAH",
            "last_name": "MOON-COOK",
            "middle_name": "EAMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.