Active NPI
Michael D Cooley, C.R.N.P.
- Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R130253
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-0400
- NPI assigned
- Jun 5, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R130253 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
PO Box 64563
Baltimore, MD 21264-4563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024503800 | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Johns Hopkins University School of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
4940 Eatrern Ave
Johns Hopkins Bayview Medical Center
Baltimore, MD 21224-2735
Phone (410) 550-0100
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
Hospital & facility affiliations
- Johns Hopkins Bayview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R130253 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
4940 Eastern Ave
Baltimore, MD 21224
600 N Wolfe St
Baltimore, MD 21287
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
Interoperability endpoints
- mcooley35439@direct.hopkinsmedicine.org
Organizations & group practices 5
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.
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1235649526
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Critical Care Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1881694453
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1235178369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64563",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R130253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024503800",
"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 Jan 31, 2014; 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.