Active NPI
Kenneth S Cooke, MD
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 184814
- Practice address
- 1111 Amsterdam Ave
New York, NY 10025 - Phone
- (212) 523-4275
- Fax
- (212) 523-3798
- NPI assigned
- Jul 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 184814 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
New York, NY 10025
Mailing address
1780 Broadway
1100
New York, NY 10019
Phone (212) 590-2930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01605229 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Diagnostic Radiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.08 of 100
- Quality
- 62.84
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.64 of 100
- Quality
- 75.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenox Hill Radiology & Medical Imaging Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ramapo Radiology Associates, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Beth Israel Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| SLR Diagnostic Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Bimc Faculty Practice | Past | Accepting new patients | |
| SLR Diagnostic Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
27443 Network Pl
Chicago, IL 60673
8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532
18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002
61 E 77th St
New York, NY 10075
Phone (212) 772-2130
315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300
320 Robinson Ave
Newburgh, NY 12550
Phone (845) 565-1989
111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
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.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
-
- Radiological Physics Physician
- New York, NY
- NPI 1679504203
Diagnostic Radiology
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1093906828
-
- Diagnostic Radiology Physician
- Suffern, NY
- NPI 1093766131
-
- Radiological Physics Physician
- New York, NY
- NPI 1225069149
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1306994173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376574939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 BROADWAY",
"address_2": "1100",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-590-2930",
"fax_number": "212-590-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-4275",
"fax_number": "212-523-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "KENNETH",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "184814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01605229",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.