Individual provider Active NPI

Howard Cook, MD

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1164546321
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33574 Issued in DC
Practice address
15107 Roving Wood Dr
Bowie, MD 20715-3373
Phone
(240) 460-6524
NPI assigned
Mar 16, 2007
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
Internal Medicine Physician 207R00000X 33574 DC Primary

Addresses

Primary practice location

15107 Roving Wood Dr
Bowie, MD 20715-3373

Mailing address

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20051130000737 DC Practitioner - Internal Medicine 0840210266 Reassigns benefits to 1 organization
I20200127001387 MD Practitioner - Internal Medicine 0840210266 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33574DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensville Primary Care,Inc CurrentSince Dec 22, 2021 Accepting new patients
Owensville Primary Care, Inc Internal Medicine CurrentSince Dec 22, 2021 Accepting new patients
Fairfax Internal Medicine Associates, PC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Capitol Care Medical Associates Past Accepting new patients
Greater Southeast Community Hospital Corp I Past Accepting new patients
Capitol Medical Center LLC Past Accepting new patients

Locations

134 Owensville Rd
West River, MD 20778
Phone (410) 867-4700

8302 Old Courthouse Rd
Ste C
Vienna, VA 22182
Phone (703) 462-8138

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164546321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-574-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 ROVING WOOD DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153373",
            "telephone_number": "240-460-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "33574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.