Individual provider Active NPI

Thomas Cook, M.D.

  • Dermatology Physician
  • Visalia, CA
National Provider Identifier
1427054477
Registry record updated Oct 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A68280 Issued in CA
Practice address
805 W Acequia Ave
Suite 1B
Visalia, CA 93291-6162
Phone
(559) 713-0117
Fax
(559) 713-1996
NPI assigned
Jun 23, 2005
Last updated
Oct 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A68280 CA Primary

Addresses

Primary practice location

805 W Acequia Ave
Suite 1B
Visalia, CA 93291-6162

Mailing address

PO Box 7420
Visalia, CA 93290-7420
Phone (559) 713-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051028000762 CA Practitioner - Dermatology 3577580588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5435 W Hillsdale Ave
Visalia, CA 93291-5156
Phone (559) 713-0117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as individual
Quality
70.76
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision102
Removal of skin lesions1256
Removal of skin cancer108
Removal or shaving of skin growth1-10
Skin biopsy403

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68280CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas F. Cook MD., Inc CurrentSince Mar 1, 2007 Accepting new patients
Sequoia Prosthetics & Orthotics, Inc. PastSince Mar 1, 2007 Accepting new patients

Locations

5435 W Hillsdale Ave
Visalia, CA 93291
Phone (559) 713-0117

805 W Acequia Ave
Ste 1B
Visalia, CA 93291
Phone (559) 409-4720

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEJFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEJFBA/Endpoint/IEJFBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414281600000",
    "number": "1427054477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7420",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907420",
            "telephone_number": "559-713-0117",
            "fax_number": "559-713-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE",
            "address_2": "SUITE 1B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916162",
            "telephone_number": "559-713-0117",
            "fax_number": "559-713-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A68280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.