Active NPI
Ronald A Cooper, M.D.
- Neurology Physician
- Omaha, NE
National Provider Identifier
1104863737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 13770
- Practice address
- 8901 W Dodge Rd
Suite 210
Omaha, NE 68114-3321 - Phone
- (402) 354-2000
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 13770 | NE | Primary |
Addresses
Primary practice location
8901 W Dodge Rd
Suite 210
Omaha, NE 68114-3321
Mailing address
8901 W Dodge Rd
Suite 210
Omaha, NE 68114-3321
Phone (402) 354-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0984278 | Medicaid | IA | |
| 208112607 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13770 | NE | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Neurology | Past | Accepting new patients |
| Diagnostic & Int Med Assoc PC | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Council Bluffs, IA
- NPI 1104870690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104863737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W DODGE RD",
"address_2": "SUITE 210",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143321",
"telephone_number": "402-354-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W DODGE RD",
"address_2": "SUITE 210",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143321",
"telephone_number": "402-354-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "RONALD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": "13770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0984278",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208112607",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.