Active NPI
Cooper Blazek, MD
- Family Medicine Physician
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2025-01811
- Practice address
- 16645 Birkdale Commons Pkwy # 100a
Huntersville, NC 28078-5669 - Phone
- (170) 480-1739
- NPI assigned
- Apr 12, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2025-01811 | NC | Primary |
Addresses
Primary practice location
16645 Birkdale Commons Pkwy # 100a
Huntersville, NC 28078-5669
Mailing address
5761 Cedermere Drive
Winston Salem, NC 27106
Phone (336) 688-6012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4815 Johnston Oehler Rd
Suite 100
Charlotte, NC 28269-1065
Phone (704) 801-7310
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Carolinas Medical Center-Northeast
- Atrium Health University City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01811 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrium Health North Market Network LLC | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
Locations
4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310
4815 Johnston Oehler Rd
#100
Charlotte, NC 28269
Phone (704) 801-7310
16645 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078
Phone (704) 801-7390
Interoperability endpoints
- cblazek816627@carolinashealthcaresystem.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Mooresville, NC
- NPI 1871112920
-
- Family Medicine Physician
- Monroe, NC
- NPI 1376898148
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1659013340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5761 CEDERMERE DRIVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27106",
"telephone_number": "336-688-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16645 BIRKDALE COMMONS PKWY # 100A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785669",
"telephone_number": "170-480-1739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZEK",
"first_name": "COOPER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2025-01811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.