John W. Cooke, DO
Individual provider Active NPI Internal Medicine Physician · Tavares, FL
NPI 1528071958 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1528071958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OS-4437 (FL)
- Practice address
- 2038 Classique LN
Tavares, FL 32778-5787 - Phone
- (352) 357-3107
- Fax
- (352) 357-9971
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2038 Classique LN
Tavares, FL 32778-5787
Phone (352) 357-3107
Hospital & facility affiliations
- Pinnacle Home Care of the Villages Inc
- Adventhealth Home Health
- Vitas Healthcare Corporation of Florida
- Adventhealth Waterman
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110118000276 | FL | Practitioner - Internal Medicine | 4284643099 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-4437 | FL | MD | Internal Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John W. Cooke, D.O., P.a | Internal Medicine | Current |
Accepting new patients |
| Ear, Nose & Throat Associates of Lake County , PA | Past |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
633 N Bay St
Eustis, FL 32726
Phone (352) 357-3107
2038 Classique Ln
Tavares, FL 32778
Phone (352) 357-3107
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIGGAD/Endpoint/FIGGAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS-4437 | FL | Yes |
Addresses
Primary practice location
2038 Classique LN
Tavares, FL 32778-5787
Mailing address
2038 Classique LN
Tavares, FL 32778-5787
Phone (352) 357-3107
Other providers in Tavares, FL
- Companion Health Technologies, Inc
- Comprehensive Psychological and Assessment Services
- Dawn A Comrie
- Ashley Megan Concepcion
- Andrew John Cooke
- Cora Health Services Inc
- Coral Cordero
- Corey H. Henderson MD PA
- Cornerstone Centers for Wellbeing, LLC
- Cornerstone Health Services LLC
All providers in Tavares, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.