Individual provider Active NPI

Michael B Cooksey, DO

  • Obstetrics & Gynecology Physician
  • Wilmington, DE
National Provider Identifier
1487692653
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C20005691 Issued in DE
Practice address
3519 Silverside Rd
Suite 204 Ridgely BLDG
Wilmington, DE 19810-4909
Phone
(302) 477-1375
Fax
(302) 477-1383
NPI assigned
Jun 2, 2006
Last updated
May 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C20005691 DE Primary

Addresses

Primary practice location

3519 Silverside Rd
Suite 204 Ridgely BLDG
Wilmington, DE 19810-4909

Mailing address

3519 Silverside Rd
Suite 204 Ridgely BLDG
Wilmington, DE 19810-4909
Phone (302) 477-1375

Other identifiers 1

IdentifierTypeStateIssuer
1000013840MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20081208000300 DE Practitioner - Obstetrics/Gynecology 1557422623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Wilmington, DE 19803-2764

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20005691DEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Obstetrics & Gynecology CurrentSince Feb 21, 2019 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 21, 2019 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients

Locations

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3509 Silverside Rd
#201
Wilmington, DE 19810
Phone (302) 477-1375

3521 Silverside Rd
Ste 2L1
Wilmington, DE 19810
Phone (302) 477-1375

Organizations & group practices 6

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1487692653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 SILVERSIDE RD",
            "address_2": "SUITE 204 RIDGELY BLDG",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104909",
            "telephone_number": "302-477-1375",
            "fax_number": "302-477-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 SILVERSIDE RD",
            "address_2": "SUITE 204 RIDGELY BLDG",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104909",
            "telephone_number": "302-477-1375",
            "fax_number": "302-477-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSEY",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C20005691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000013840",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.