Individual provider Active NPI

Thomas Kevin Cook, MD

  • Plastic and Reconstructive Surgery Physician
  • Midland, TX
National Provider Identifier
1659582948
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
P0027 Issued in TX
Practice address
701 Tradewinds Blvd Ste B
Midland, TX 79706-3166
Phone
(432) 618-6772
Fax
(432) 618-6775
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X P0027 TX Primary

Addresses

Primary practice location

701 Tradewinds Blvd Ste B
Midland, TX 79706-3166

Mailing address

701 Tradewinds Blvd Ste B
Midland, TX 79706-3166
Phone (432) 618-6772

Other identifiers 3

IdentifierTypeStateIssuer
TXB162658OtherTXMEDICARE
310098401MedicaidTX
0029WSOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120914000726 TX Practitioner - Plastic and Reconstructive Surgery 0446408561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2405 W Missouri Ave
Midland, TX 79701-6800

701 Tradewinds Blvd
Suite B
Midland, TX 79706-3166
Phone (432) 618-6772

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0027TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Plastic Surgery Center PA Plastic and Reconstructive Surgery CurrentSince Jun 15, 2015 Accepting new patients
Childrens Plastic Surgery PLLC PastSince Jan 11, 2012 Accepting new patients

Locations

2405 W Missouri Ave
Midland, TX 79701
Phone (432) 683-2723

701 Tradewinds Blvd
Ste B
Midland, TX 79706
Phone (432) 618-6772

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.

Hospital & facility affiliations 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1659582948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TRADEWINDS BLVD STE B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063166",
            "telephone_number": "432-618-6772",
            "fax_number": "432-618-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TRADEWINDS BLVD STE B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063166",
            "telephone_number": "432-618-6772",
            "fax_number": "432-618-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "THOMAS",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P0027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB162658",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310098401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0029WS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.