Active NPI
Samuel Nathan Cooper, M.D.
- Emergency Medicine Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD-16899
- Practice address
- 770 Kapiolani Blvd
705
Honolulu, HI 96813-5212 - Phone
- (714) 932-2442
- NPI assigned
- Sep 18, 2008
- Last updated
- Apr 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD-16899 | HI | Primary |
| Emergency Medicine Physician | 207P00000X | A111632 | CA |
Addresses
Primary practice location
770 Kapiolani Blvd
705
Honolulu, HI 96813-5212
Mailing address
770 Kapiolani Blvd
705
Honolulu, HI 96813-5212
Phone (714) 932-2442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Temple University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 597-8778
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 459 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-16899 | HI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emergency Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Aloha Wound Care Group LLC | Current | Accepting new patients |
Locations
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
770 Kapiolani Blvd
Ste 705
Honolulu, HI 96813
Phone (808) 597-8778
Organizations & group practices 2
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.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Honolulu, HI
- NPI 1043657141
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1013943414
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Straub Benioff Medical Center
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1629227277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 KAPIOLANI BLVD",
"address_2": "705",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135212",
"telephone_number": "714-932-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 KAPIOLANI BLVD",
"address_2": "705",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135212",
"telephone_number": "714-932-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SAMUEL",
"middle_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-18",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD-16899",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A111632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.