NPIMap

Individual provider Active NPI

Axel Cooper, M.D.

  • Surgery Physician
  • Winston Salem, NC
National Provider Identifier
1134549637
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D88413 Issued in MD
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-7496
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D88413 MD Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704

Other practice location 1

5755 Cedar Ln
Columbia, MD 21044-2912
Phone (410) 740-7544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200522000155 DC Practitioner - General Surgery 7113348442 Reassigns benefits to 1 organization
I20211022000129 MD Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7113348442 Reassigns benefits to 2 organizations
I20230831003235 VA Practitioner - General Surgery 7113348442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of Virginia PCGroup PAC ID 8820247752, 13 clinicians

Practice addresses (Care Compare)

15225 Heathcote Blvd
Haymarket, VA 20169-6264
Phone (571) 284-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Virginia PC CurrentSince Jul 18, 2023 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince May 1, 2020 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 25, 2021 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 25, 2021 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince May 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Surgery CurrentSince Jan 13, 2024 Accepting new patients
Upmc Western Maryland Corporation Surgery Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Johns Hopkins University CurrentSince Jan 13, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC Surgery Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

600 N Wolfe St
Baltimore, MD 21287

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

44055 Riverside Pkwy
Ste 234
Leesburg, VA 20176
Phone (703) 858-3020

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: acooper154112@direct.healthsystem.virginia.edu

Organizations & group practices 12

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 3

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1134549637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-7496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442912",
            "country_code": "US",
            "telephone_number": "410-740-7544",
            "fax_number": "410-740-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AXEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D88413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.