Individual provider Active NPI

Carter Noal Cook, MD

  • Diagnostic Radiology Physician
  • Fremont, NE
National Provider Identifier
1104862218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19406 Issued in NE
Practice address
450 E 23Rd St
Fremont, NE 68025
Phone
(402) 721-3070
Fax
(402) 727-3513
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19406 NE Primary

Addresses

Primary practice location

450 E 23Rd St
Fremont, NE 68025

Mailing address

415 E 23Rd St
Ste 210
Fremont, NE 68025-2393
Phone (402) 721-4866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, ID2 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
I20100729000038 NE Practitioner - Diagnostic Radiology 8729111620 Reassigns benefits to 1 organization
I20251206000334 ID Practitioner - Diagnostic Radiology 8729111620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5890

Hospital & facility affiliations

  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
  • St Francis Memorial Hospital Hospital, West Point, NE, CCN 281322
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

Merit-based Incentive Payment System (MIPS)

Final score
90.47 of 100Reported as group
Quality
92.9
Improvement activities
40
Cost
81.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19406NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Bear Lake County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients

Locations

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

822 Washington St
Montpelier, ID 83254
Phone (208) 847-4404

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104862218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 23RD ST",
            "address_2": "STE 210",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252393",
            "telephone_number": "402-721-4866",
            "fax_number": "402-721-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-721-3070",
            "fax_number": "402-727-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CARTER",
        "middle_name": "NOAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "19406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.