Active NPI
Cynthia L Cookingham, MD
- Anatomic Pathology & Clinical Pathology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4301048327
- Practice address
- 1500 East Medical Center Dr
2ND Floor University Hospital Recp Pathology
Ann Arbor, MI 48109-5054 - Phone
- (800) 862-7284
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 4301048327 | MI | |
| Internal Medicine Physician | 207R00000X | CC048327 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301048327 | MI | Primary |
| Pediatrics Physician | 208000000X | 4301048327 | MI |
Addresses
Primary practice location
1500 East Medical Center Dr
2ND Floor University Hospital Recp Pathology
Ann Arbor, MI 48109-5054
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4322960 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Pathology
- Education
- University of Michigan Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan NE
Spectrum Butterworth
Grand Rapids, MI 49503-2560
Phone (616) 267-2660
35 Michigan St NE
Spectrum Health Reg Laboratory
Grand Rapids, MI 49503-2514
Phone (616) 267-2350
826 W King St
Owosso, MI 48867-2120
Phone (616) 267-2660
Hospital & facility affiliations
- Spectrum Health
- Memorial Healthcare
- Corewell Health Reed City Hospital
- Corewell Health Big Rapids Hospital
- Corewell Health Ludington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.98 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC048327 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Pathology Specialists PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Cynthia L Cookingham MD PC | Allergy & Immunology | Past | Accepting new patients |
Locations
212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212
1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730
35 Michigan St NE
Stop 56
Grand Rapids, MI 49503
145 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 486-5700
35 Michigan St NE
Ste MC56
Grand Rapids, MI 49503
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341
1009 W Green St
Hastings, MI 49058
Phone (269) 945-1212
8333 Felch St
Ste 1
Zeeland, MI 49464
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Grand Rapids, MI
- NPI 1033193875
-
- Allergy & Immunology Physician
- Clarkston, MI
- NPI 1326101304
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
- General Acute Care Hospital
- Owosso, MI
- NPI 1063414233
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- Critical Access Hospital
- Reed City, MI
- NPI 1437259843
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1295891935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095054",
"telephone_number": "800-862-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKINGHAM",
"first_name": "CYNTHIA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "4301048327",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "CC048327",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301048327",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301048327",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4322960",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.