Keith George Cook, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29364 Issued in CO

Practice address

3959 E 120TH Ave
Thornton, CO 80233-1657

Phone

(303) 452-4343

NPI assigned

Nov 28, 2006

Last updated

May 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHHS IHS Phoenix AreaGroup PAC ID 7810163011, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.2 of 100Reported as group

Quality

74.9

Improvement activities

40

Cost

20.37

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• DHHS IHS Phoenix Area

  dba Peach Springs Health Center

  • Clinic/Center
  • Peach Springs, AZ
  • NPI 1265719934

  TX

  Medicare reassignment Care Compare group NPD
• DHHS IHS Phoenix Area

  dba Chemehuevi Health Clinic

  • Federal Public Health Clinic/Center
  • Havasu Lake, CA
  • NPI 1396022026

  TX

  Medicare reassignment NPD
• Irene Benn Medical Center

  • Clinic/Center
  • Moapa, NV
  • NPI 1841535317

  TX

  Medicare reassignment NPD
• DHHS IHS Phoenix

  dba Supai Health Center

  • Clinic/Center
  • Supai, AZ
  • NPI 1184901829
  NPD
• DHHS IHS Phoenix Area

  dba Parker Indian Hospital

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1851678585
  NPD
• Allan Carl Koenig M.D.

  dba Platte Valley Medical Clinic

  • General Practice Physician
  • Thornton, CO
  • NPI 1790974343
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1437225786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331657",
            "telephone_number": "303-452-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331657",
            "telephone_number": "303-452-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KEITH",
        "middle_name": "GEORGE",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01293646",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Conkey, SLP
• Amanda Conroy
• Kelly Contreras, CD(DONA)
• Amy Marie Cook, M.D.
• Kayla Dawn Cook, MSOT, OTR/L
• Lenee Michelle Cook
• Patrick Michael Cook, PT, DPT
• William H Cooper, MD
• John Corbett, DPT
• Michelle Elizabeth Cordean, CAC II

• Family Medicine Physician in Thornton, CO
• Providers in Thornton, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.

Verify at the official NPI Registry.