NPIMap

Individual provider Active NPI

Mary G. Cooper, M.D.

  • Family Medicine Physician
  • Monroeville, PA
National Provider Identifier
1578824876
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD456582 Issued in PA
Practice address
2550 Mosside Blvd Ste 500
Monroeville, PA 15146-3514
Phone
(412) 457-1100
Fax
(412) 457-0250
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 MD456582 PA Primary

Addresses

Primary practice location

2550 Mosside Blvd Ste 500
Monroeville, PA 15146-3514

Mailing address

2550 Mosside Blvd Ste 500
Monroeville, PA 15146-3514
Phone (412) 457-1100

Other identifiers 1

IdentifierTypeStateIssuer
103113410MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcooper84088@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418002393 PA Practitioner - Emergency MedicinePractitioner - Family Practice 8820308943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Pittsburgh School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

4262 Old William Penn Hwy
Suite 109
Murrysville, PA 15668-1954
Phone (724) 325-6010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456582PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jun 1, 2016 Accepting new patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic CurrentSince Jun 1, 2016 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2550 Mosside Blvd
Ste 500
Monroeville, PA 15146
Phone (412) 457-1050

4262 Old William Penn Hwy
Ste 109
Murrysville, PA 15668
Phone (412) 325-5810

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1578824876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD STE 500",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463514",
            "telephone_number": "412-457-1100",
            "fax_number": "412-457-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD STE 500",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463514",
            "telephone_number": "412-457-1100",
            "fax_number": "412-457-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MARY",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD456582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103113410",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcooper84088@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2550 Mosside Blvd Ste 500",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.