William A Cooper Jr., MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Suitland, MD
NPI 1609936152 · NPPES record last updated Jul 2, 2021
Key facts
- NPI
- 1609936152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D0054665 (MD)
- Practice address
- 5100 Auth Way
Suitland, MD 20746-4207 - Phone
- (301) 702-5148
- Fax
- (301) 702-5116
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Howard University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
5100 Auth Way
Suitland, MD 20746-4207
Phone (301) 702-5000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 |
|---|---|---|---|---|
| I20100112000627 | DC | Practitioner - Obstetrics/Gynecology | 5496896417 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD31573 | DC | MD | Obstetrics & Gynecology Physician |
| D0054665 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Medstar Washington Hospital Center | Past | Accepting new patients |
Locations
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
#4E
Rockville, MD 20852
2101 E Jefferson St
Unit 6
Rockville, MD 20852
5100 Auth Way
Suitland, MD 20746
Phone (301) 702-5000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD31573 | DC | |
| Obstetrics & Gynecology Physician | 207V00000X | D0054665 | MD | Yes |
Addresses
Primary practice location
5100 Auth Way
Suitland, MD 20746-4207
Mailing address
2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6 West
Rockville, MD 20852-4908
Phone (301) 816-6660
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Suitland, MD
- CN SBHC Drew Freeman Ms
- Debra Ann Coe
- Cecilya S Coney
- Christopher Leander Cook
- Paul E Cook
- Carolyn Covington
- Cordelia Cranshaw
- Kenzell Crawford
- Ayelevi Dometo Creppy
- Shaniah M Curtis
All providers in Suitland, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2021. 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.