NPIMap

Individual provider Active NPI

Christopher Cooper, MD

  • Family Medicine Physician
  • Excelsior Springs, MO
National Provider Identifier
1306132600
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2014022135 Issued in MO
Practice address
199 S. McCleary Rd
Excelsior Springs, MO 64024
Phone
(816) 407-4700
Fax
(816) 407-4701
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2014022135 MO Primary
Family Medicine Physician 207Q00000X 125-060212 IL

Addresses

Primary practice location

199 S. McCleary Rd
Excelsior Springs, MO 64024

Mailing address

PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 630-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140722002301 MO Practitioner - Family Practice 0749428688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital Corporation 135 clinicians

Practice addresses (Care Compare)

199 S McCleary Rd
Suite 100
Excelsior Springs, MO 64024-8456
Phone (816) 630-6071

Hospital & facility affiliations

  • Phoenix Home Care Home health agency, Independence, MO, CCN 267650
  • Specialized Home Care Home health agency, Independence, MO, CCN 267653
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Excelsior Springs Hospital Hospital, Excelsior Springs, MO, CCN 261322

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-060212ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Corporation Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
New Liberty Hospital Corporation Family Medicine Current Accepting new patients
New Liberty Hospital Coporation CurrentSince Aug 1, 2014 Accepting new patients
New Liberty Hospital Corporation Family Medicine PastSince Jan 12, 2015 Accepting new patients
New Liberty Hospital Coporation Family Medicine Past Accepting new patients

Locations

199 S McCleary Rd
Excelsior Springs, MO 64024
Phone (816) 407-4700

199 S McCleary Rd
Ste 100
Excelsior Springs, MO 64024
Phone (816) 407-4700

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: christopher.cooper.p5@direct.nlhc.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1306132600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219672",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219672",
            "telephone_number": "816-630-6071",
            "fax_number": "816-630-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S. MCCLEARY RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "64024",
            "telephone_number": "816-407-4700",
            "fax_number": "816-407-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2014022135",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-060212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

Verify at the official NPI Registry.