Jennifer L Cool, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31073 Issued in AZ

Practice address

10450 E Riggs Rd
Suite 110
Sun Lakes, AZ 85248-7758

Phone

(480) 895-7600

Fax

(480) 895-7601

NPI assigned

Jul 21, 2005

Last updated

Dec 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Internal Medicine

Education

Creighton University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Internal Medicine, PLLCGroup PAC ID 0244468981, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281
• Haven Home Health Care Home health agency, Scottsdale, AZ, CCN 037492
• Victory Home Care Agency Home health agency, Mesa, AZ, CCN 037230
• Summit Home Health LLC Home health agency, Phoenix, AZ, CCN 037482
• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lakeside Internal Medicine, PLLC

  • Internal Medicine Physician
  • Sun Lakes, AZ
  • NPI 1063854420
  Medicare reassignment Care Compare group
• Advanced Cardiac Specialists, Chartered

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1912174590
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Chandler Regional Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Dignity Health at Home, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1831678218
  Care Compare affiliation
• Home Health Scottsdale, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1154898542
  Care Compare affiliation
• Summit Home Health LLC

  dba Summit Home Health

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1760981427
  Care Compare affiliation
• Villaraza Corporation

  dba DBA: Victory Home Care Agency

  • Home Health Agency
  • Mesa, AZ
  • NPI 1972505881
  Care Compare affiliation

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1528067477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 E RIGGS RD",
            "address_2": "SUITE 110",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487758",
            "telephone_number": "480-895-7600",
            "fax_number": "480-895-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 E RIGGS RD",
            "address_2": "SUITE 110",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487758",
            "telephone_number": "480-895-7600",
            "fax_number": "480-895-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayla Brown
• Carl T. Hayden Veterans Affairs
• Joshua Castillo
• Charles Richard Close, D.C.
• Virginia Valerie Cook, PHD, CPNP
• Patricia Jo Curran, MS, LMHC
• Annie Dai, MD
• Dlugas Chiropractic, PLLC
• Caitlin Dlugas, D.C.
• Donald J Boles Jr MD PC

• Internal Medicine Physician in Sun Lakes, AZ
• Providers in Sun Lakes, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.