NPIMap

Individual provider Active NPI

Dianne Margaret Cooper, M.D.

  • Rheumatology Physician
  • Wichita Falls, TX
National Provider Identifier
1649232810
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
L6840 Issued in TX
Practice address
4412 Kell Blvd
Wichita Falls, TX 76309-4719
Phone
(940) 692-1200
NPI assigned
Apr 4, 2006
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X L6840 TX Primary

Addresses

Primary practice location

4412 Kell Blvd
Wichita Falls, TX 76309-4719

Mailing address

PO Box 9126
Wichita Falls, TX 76308-9126
Phone (940) 692-1200

Other names 1

  • Dianne Margaret Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20031229000195 TX Practitioner - Rheumatology 4587562673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dianne M Cooper MD PAGroup PAC ID 8426150525, 2 clinicians

Practice addresses (Care Compare)

5 Eureka Cir
Suite D
Wichita Falls, TX 76308-2900
Phone (940) 692-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6840TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Dianne M Cooper MD PA Rheumatology CurrentSince Jan 1, 2007 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1722 9th St
Wichita Falls, TX 76301
Phone (940) 322-1075

4412 Kell Blvd
Wichita Falls, TX 76309
Phone (940) 696-0011

5 Eureka Cir
Ste D
Wichita Falls, TX 76308
Phone (940) 692-1200

Interoperability endpoints

  • Direct secure messaging: dcooper13601@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 9

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1649232810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9126",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763089126",
            "telephone_number": "940-692-1200",
            "fax_number": "940-692-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094719",
            "telephone_number": "940-692-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DIANNE",
        "middle_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "L6840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "JOHNSON",
            "middle_name": "MARGARET",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.