Individual provider Active NPI

Jonas Aaron Cooper, MD

  • Clinical Cardiac Electrophysiology Physician
  • Chesterfield, MO
National Provider Identifier
1154499499
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
2004018040 Issued in MO
Practice address
121 Saint Lukes Center Dr Ste 404
Chesterfield, MO 63017-3519
Phone
(636) 685-7738
Fax
(314) 590-5927
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2004018040 MO
Clinical Cardiac Electrophysiology Physician 207RC0001X 2004018040 MO Primary

Addresses

Primary practice location

121 Saint Lukes Center Dr Ste 404
Chesterfield, MO 63017-3519

Mailing address

121 Saint Lukes Center Dr
Suite 304
Chesterfield, MO 63017-3518
Phone (636) 685-7738

Other practice location 1

121 Saint Lukes Center Dr Ste 501
Chesterfield, MO 63017-3519
Phone (636) 685-7738

Other identifiers 2

IdentifierTypeStateIssuer
1154499499MedicaidMO
1024071030001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000336 MO Practitioner - Cardiac ElectrophysiologyPractitioner - Other (Physician)Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082783089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Electrophysiology Specialists LLCGroup PAC ID 4082906821, 5 clinicians

Practice addresses (Care Compare)

121 Saint Lukes Ctr Dr
Chesterfield, MO 63017-3519
Phone (636) 685-7738

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Electrophysiology Specialists, LLC Clinical Cardiac Electrophysiology CurrentSince Aug 1, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
St. Lukes Medical Group Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Ste 304
Chesterfield, MO 63017
Phone (636) 685-7738

121 Saint Lukes Center Dr
Ste 501
Chesterfield, MO 63017
Phone (314) 485-3500

121 Saint Lukes Center Dr
Ste 404
Chesterfield, MO 63017
Phone (314) 205-6420

Organizations & group practices 3

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 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1154499499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR",
            "address_2": "SUITE 304",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173518",
            "telephone_number": "636-685-7738",
            "fax_number": "314-590-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR STE 404",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173519",
            "telephone_number": "636-685-7738",
            "fax_number": "314-590-5927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Saint Lukes Center Dr Ste 501",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173519",
            "country_code": "US",
            "telephone_number": "636-685-7738",
            "fax_number": "314-590-5927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JONAS",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2004018040",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "2004018040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154499499",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024071030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.