Individual provider Active NPI

Michael A Cooper, MD

  • Vascular Surgery Physician
  • Denver, CO
National Provider Identifier
1649239807
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
31852 Issued in CO
Practice address
4600 Hale Pkwy
Suite 460
Denver, CO 80220-4020
Phone
(303) 388-7265
Fax
(303) 331-6839
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 31852 CO Primary

Addresses

Primary practice location

4600 Hale Pkwy
Suite 460
Denver, CO 80220-4020

Mailing address

950 E Harvard Ave
Suite 550
Denver, CO 80210-7009
Phone (303) 778-6527

Other identifiers 1

IdentifierTypeStateIssuer
01318526MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120123000081 CO Practitioner - Vascular Surgery 1850355322 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31852COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Cardiovascular Surgical Associates,Inc CurrentSince Aug 1, 2000 Accepting new patients

Locations

4545 E 9th Ave
Ste 240
Denver, CO 80220
Phone (303) 320-6221

950 E Harvard Ave
Ste 550
Denver, CO 80210
Phone (303) 269-2920

4600 Hale Pkwy
Ste 460
Denver, CO 80220
Phone (303) 321-4477

500 E Hampden Ave
Ste 204
Englewood, CO 80113
Phone (303) 778-6527

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1649239807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE",
            "address_2": "SUITE 550",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107009",
            "telephone_number": "303-778-6527",
            "fax_number": "303-733-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY",
            "address_2": "SUITE 460",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204020",
            "telephone_number": "303-388-7265",
            "fax_number": "303-331-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "31852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01318526",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.