Individual provider Active NPI

Courtney Jayne Cook, M.D.

  • Vascular & Interventional Radiology Physician
  • San Antonio, TX
National Provider Identifier
1508120296
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
67592-20 Issued in WI
Practice address
333 N Santa Rosa St
San Antonio, TX 78207
Phone
(210) 704-2467
Fax
(903) 663-7394
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 67592-20 WI Primary

Addresses

Primary practice location

333 N Santa Rosa St
San Antonio, TX 78207

Mailing address

PO Box 12507
San Antonio, TX 78212-0507
Phone (210) 704-2467

Other practice location 1

Uw Hospitals and Clinics 600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190612002829 OH Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0244551836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Rush Medical College of Rush University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152
  • Marion General Hospital Hospital, Marion, OH, CCN 360011
  • Wyandot Memorial Hospital Hospital, Upper Sandusky, OH, CCN 361329

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC CurrentSince Jul 24, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 17, 2021 Accepting new patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 17, 2021 Accepting new patients
Riverside Radiology and Interventional Associates Inc CurrentSince Jun 1, 2019 Accepting new patients
River City Imaging Centers LLC PastSince May 9, 2021 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

Interoperability endpoints

  • Direct secure messaging: ccook663406@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1508120296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12507",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782120507",
            "telephone_number": "210-704-2467",
            "fax_number": "903-663-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78207",
            "telephone_number": "210-704-2467",
            "fax_number": "903-663-7394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uw Hospitals and Clinics 600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "608-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "COURTNEY",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "67592-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.