Active NPI
Michael Leo Cooper, M.D.
- Internal Medicine Physician
- Kansas City, MO
National Provider Identifier
1487784112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R4834
- Practice address
- 1010 Carondelet Dr Ste 308
Kansas City, MO 64114-4823 - Phone
- (816) 942-5516
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R4834 | MO | Primary |
Addresses
Primary practice location
1010 Carondelet Dr Ste 308
Kansas City, MO 64114-4823
Mailing address
440 Terrace TRL E
Lake Quivira, KS 66217-8505
Phone (913) 268-5068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4834 | MO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487784112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 TERRACE TRL E",
"city": "LAKE QUIVIRA",
"state": "KS",
"postal_code": "662178505",
"telephone_number": "913-268-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CARONDELET DR STE 308",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144823",
"telephone_number": "816-942-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MICHAEL",
"middle_name": "LEO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R4834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.