Individual provider Active NPI

John David Cooke, M.D.

  • Family Medicine Physician
  • Trumansburg, NY
National Provider Identifier
1427046853
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228525 Issued in NY
Practice address
4435 Seneca Rd
Trumansburg, NY 14886-9201
Phone
(607) 387-5707
Fax
(607) 387-4354
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 228525 NY Primary

Addresses

Primary practice location

4435 Seneca Rd
Trumansburg, NY 14886-9201

Mailing address

4435 Seneca Rd
Trumansburg, NY 14886-9201
Phone (607) 387-5707

Other identifiers 1

IdentifierTypeStateIssuer
02411741MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000686 NY Practitioner - Family Practice 7911008313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trumansburg Medicine PLLCGroup PAC ID 5395846794, 6 clinicians

Practice addresses (Care Compare)

4435 Seneca Rd
Trumansburg Family Health Center
Trumansburg, NY 14886-9201
Phone (607) 387-5707

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trumansburg Medicine PLLC Family Medicine CurrentSince Jan 2, 2007 Accepting new patients

Locations

1018 Ellis Hollow Rd
Ste C
Ithaca, NY 14850
Phone (607) 387-5707

4435 Seneca Rd
#H
Trumansburg, NY 14886
Phone (607) 387-5707

4435 Seneca Rd
Trumansburg, NY 14886
Phone (607) 387-5707

Interoperability endpoints

  • Direct secure messaging: drjcooke@trumansburgfamilyhealth.medentdirect.com

Organizations & group practices 1

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 1

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1427046853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 SENECA RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869201",
            "telephone_number": "607-387-5707",
            "fax_number": "607-387-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 SENECA RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869201",
            "telephone_number": "607-387-5707",
            "fax_number": "607-387-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02411741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumansburg, NY

Sources for this page

Verify at the official NPI Registry.