Active NPI
Robert Menachem Cooper, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
National Provider Identifier
1235159898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- D0030377
- Practice address
- 6503 Park Heights Ave
L-2
Baltimore, MD 21215-3002 - Phone
- (410) 358-2397
- Fax
- (410) 358-2399
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | D0030377 | MD | Primary |
Addresses
Primary practice location
6503 Park Heights Ave
L-2
Baltimore, MD 21215-3002
Mailing address
6503 Park Heights Ave
L-2
Baltimore, MD 21215-3002
Phone (410) 358-2397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 396801400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6503 Park Heights Ave
Baltimore, MD 21215-3013
Phone (410) 358-2397
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.37 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 84.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0030377 | MD | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert M. Cooper, M.D,, LLC | Geriatric Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6503 Park Heights Ave
Baltimore, MD 21215
Phone (410) 358-2397
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1225085426
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1245181742
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Forest Hill, MD
- NPI 1528352747
-
- Home Health Agency
- Columbia, MD
- NPI 1558680447
-
- Home Health Agency
- Glen Burnie, MD
- NPI 1578501789
-
- Home Health Agency
- Towson, MD
- NPI 1902843451
-
- Home Health Agency
- Owings Mills, MD
- NPI 1144400805
-
dba MedStar Health Home Care
- Home Health Agency
- Baltimore, MD
- NPI 1790899524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1235159898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6503 PARK HEIGHTS AVE",
"address_2": "L-2",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153002",
"telephone_number": "410-358-2397",
"fax_number": "410-358-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6503 PARK HEIGHTS AVE",
"address_2": "L-2",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153002",
"telephone_number": "410-358-2397",
"fax_number": "410-358-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ROBERT",
"middle_name": "MENACHEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MD",
"license": "D0030377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "396801400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.