Individual provider Active NPI

Jimmy L Cooper, MD

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1508873886
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M5673 Issued in TX
Practice address
18007 Ih 10 W
San Antonio, TX 78257-9536
Phone
(210) 530-1040
Fax
(210) 530-1187
NPI assigned
Aug 1, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M5673 TX Primary

Addresses

Primary practice location

18007 Ih 10 W
San Antonio, TX 78257-9536

Mailing address

18731 Corsini Dr
San Antonio, TX 78258-1629
Phone (210) 218-4852

Other practice location 1

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Phone (210) 916-4141

Other practice location 2

23511 Hardy Oak Blvd
San Antonio, TX 78258-1928
Phone (210) 361-3266

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070907000256 TX Practitioner - Emergency Medicine 1951321470 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas ER Group PLLCGroup PAC ID 4880039338, 18 clinicians

Practice addresses (Care Compare)

220 Blanco St
Suite 2
Lumberton, TX 77657-1302
Phone (409) 755-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5673TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PVD Urgent Care LLC CurrentSince Oct 11, 2018 Accepting new patients
PVD Urgent Care LLC CurrentSince Oct 11, 2018 Accepting new patients
Texas ER Group PLLC Emergency Medicine CurrentSince May 17, 2024 Accepting new patients
Oleander Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 29, 2012 Accepting new patients
Austin ER Associates PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients

Locations

13435 N US Highway 183
Ste 311
Austin, TX 78750
Phone (512) 614-1200

6051 Garth Rd
Ste 100
Baytown, TX 77521
Phone (832) 695-2020

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

1535 West Loop S
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

18007 Ih 10 W
San Antonio, TX 78257
Phone (210) 530-1040

18007 W Interstate 10
Ste 101
San Antonio, TX 78257

23511 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 361-3266

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1508873886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18731 CORSINI DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581629",
            "telephone_number": "210-218-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18007 IH 10 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579536",
            "telephone_number": "210-530-1040",
            "fax_number": "210-530-1187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-4141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23511 Hardy Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782581928",
            "country_code": "US",
            "telephone_number": "210-361-3266",
            "fax_number": "210-564-9156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JIMMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M5673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.