Individual provider Active NPI

Rani Michelle Cooper, M.D.

  • Dermatology Physician
  • Katy, TX
National Provider Identifier
1285839084
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M6085 Issued in TX
Practice address
23050 Westheimer Pkwy
Katy, TX 77494-3596
Phone
(281) 394-9500
Fax
(281) 394-5350
NPI assigned
Jun 20, 2007
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X M6085 TX
Pediatric Dermatology Physician 207NP0225X M6085 TX
Procedural Dermatology Physician 207NS0135X M6085 TX
Dermatology Physician 207N00000X M6085 TX Primary

Addresses

Primary practice location

23050 Westheimer Pkwy
Katy, TX 77494-3596

Mailing address

23050 Westheimer Pkwy
Katy, TX 77494-3596
Phone (281) 394-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100802000411 TX Practitioner - Dermatology 0446383129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cinco Ranch Dermatology PAGroup PAC ID 0345484598, 5 clinicians

Practice addresses (Care Compare)

23050 Westheimer Pkwy
Katy, TX 77494-3596
Phone (281) 394-9500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions371
Skin biopsy126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Dermatology, P.a. CurrentSince Jul 28, 2015 Accepting new patients
Cinco Ranch Dermatology, P.a. Dermatology CurrentSince Apr 9, 2018 Accepting new patients
Advanced Dermatologic Surgery PA Dermatology Past Accepting new patients
Skin Care Specialists, PLLC PastSince Mar 21, 2021 Accepting new patients

Locations

21310 Provincial Blvd
Katy, TX 77450
Phone (281) 599-0404

23050 Westheimer Pkwy
Katy, TX 77494
Phone (281) 394-9500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1285839084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23050 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943596",
            "telephone_number": "281-394-9500",
            "fax_number": "281-394-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23050 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943596",
            "telephone_number": "281-394-9500",
            "fax_number": "281-394-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RANI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "TX",
            "license": "M6085",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "TX",
            "license": "M6085",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "M6085",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.