Individual provider Active NPI

John Lawrence Cooper

  • Urology Physician
  • Prince Frederick, MD
National Provider Identifier
1538408570
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D92347 Issued in MD
Practice address
1015 Prince Frederick Blvd
Prince Frederick, MD 20678-3193
Phone
(410) 535-4116
Fax
(410) 414-8480
NPI assigned
Feb 12, 2013
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D92347 MD Primary

Addresses

Primary practice location

1015 Prince Frederick Blvd
Prince Frederick, MD 20678-3193

Mailing address

24035 Three Notch Road
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other practice location 1

130 Hospital Rd Ste 300
Prince Frederick, MD 20678-4057
Phone (410) 535-4333

Other names 1

  • Jack Cooper Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211026000014 MD Practitioner - Urology 2365743697 Reassigns benefits to 2 organizations
I20260312002849 DC Practitioner - Urology 2365743697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Johns Hopkins University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

1015 Prince Frederick Blvd
Prince Frederick, MD 20678-3193
Phone (301) 373-7900

110 Hospital Rd
Suite 210
Prince Frederick, MD 20678-4040
Phone (410) 414-9017

24035 Three Notch Rd
Hollywood, MD 20636-4871

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
74.54
Promoting interoperability
99
Improvement activities
40
Cost
81.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC Current Accepting new patients
Calverthealth Medical Group, LLC CurrentSince Dec 1, 2021 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince May 1, 2026 Accepting new patients
Calverthealth Medical Group, LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

1015 Prince Frederick Blvd
Prince Frederick, MD 20678
Phone (410) 231-4666

130 Hospital Rd
Ste 300
Prince Frederick, MD 20678
Phone (410) 535-4333

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

110 Hospital Rd
Ste 210
Prnc Frederck, MD 20678
Phone (410) 414-9017

14090 Hg Trueman Rd
#2600
Solomons, MD 20688
Phone (410) 414-4700

Interoperability endpoints

  • Direct secure messaging: john.cooper@directcalverthospital.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1538408570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH ROAD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 PRINCE FREDERICK BLVD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783193",
            "telephone_number": "410-535-4116",
            "fax_number": "410-414-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Hospital Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784057",
            "country_code": "US",
            "telephone_number": "410-535-4333",
            "fax_number": "410-535-0495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-12",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D92347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "COOPER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.