Active NPI
Michael D Cook, MD
- Nephrology Physician
- Columbia, SC
National Provider Identifier
1649245317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 15959
- Practice address
- 121 Park Central Dr
Suite 200
Columbia, SC 29203-6469 - Phone
- (803) 252-9907
- Fax
- (803) 252-9906
- NPI assigned
- Feb 17, 2006
- Last updated
- Aug 30, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 15959 | SC | Primary |
Addresses
Primary practice location
121 Park Central Dr
Suite 200
Columbia, SC 29203-6469
Mailing address
121 Park Central Dr
200
Columbia, SC 29203-6469
Phone (803) 252-9907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159599 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Arkansas College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
121 Park Central Dr
Suite 200
Columbia, SC 29203-6476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15959 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresenius Medical Care Cna Kidney Centers, LLC | Past | Accepting new patients | |
| Bio-Medical Applications of South Carolina, Inc. | Past | Accepting new patients |
Interoperability endpoints
- michael.cook.p85@direct.aac.nextgenshare.com
- michaelcook@cna.allscriptsdirect.net
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.
-
dba Fresenius Kidney Care Carnes Crossroads
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Summerville, SC
- NPI 1740845445
-
dba Fresenius Kidney Care the Lakes Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Columbia, SC
- NPI 1194384701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1649245317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 PARK CENTRAL DR",
"address_2": "200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036469",
"telephone_number": "803-252-9907",
"fax_number": "803-252-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 PARK CENTRAL DR",
"address_2": "SUITE 200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036469",
"telephone_number": "803-252-9907",
"fax_number": "803-252-9906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "15959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159599",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.