Individual provider Active NPI

Melvin Dean Cook Jr., MD

  • Family Medicine Physician
  • Midwest City, OK
National Provider Identifier
1568448306
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17738 Issued in OK
Practice address
8800 SE 15
Midwest City, OK 73110-8001
Phone
(405) 739-6840
Fax
(405) 455-3087
NPI assigned
Dec 22, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17738 OK Primary

Addresses

Primary practice location

8800 SE 15
Midwest City, OK 73110-8001

Mailing address

8800 SE 15
Midwest City, OK 73110-8001
Phone (405) 739-6840

Other identifiers 2

IdentifierTypeStateIssuer
080182938OtherOKRAILROAD THRU MW MEDICAL
100108010AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20101109001007 OK Practitioner - Family Practice 8729151410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Medical Group PLLCGroup PAC ID 2365342672, 5 clinicians

Practice addresses (Care Compare)

8800 SE 15TH St
Midwest City, OK 73110-8001
Phone (405) 739-6840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17738OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Medical Group PLLC Family Medicine CurrentSince Oct 1, 2001 Accepting new patients
Summit Medical Center Past Accepting new patients
Midwest Radiology Associates PC PastSince Feb 5, 1990 Accepting new patients

Locations

1201 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 737-3538

1201 S Douglas Blvd
Ste J
Oklahoma City, OK 73130
Phone (405) 739-6840

8800 SE 15th St
Oklahoma City, OK 73110
Phone (405) 610-4411

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADIBBA
  • Direct secure messaging: mcook834@yourcarecommunity.org

Organizations & group practices 3

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 6

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1568448306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE 15",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108001",
            "telephone_number": "405-739-6840",
            "fax_number": "405-455-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE 15",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108001",
            "telephone_number": "405-739-6840",
            "fax_number": "405-455-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MELVIN",
        "middle_name": "DEAN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "17738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD THRU MW MEDICAL",
            "identifier": "080182938",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.