Individual provider Active NPI

Michael Robert Cooley, MD

  • Diagnostic Radiology Physician
  • Latham, NY
National Provider Identifier
1669509014
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
273554 Issued in NY
Practice address
6 Wellness Way Ste G06
Latham, NY 12110-2135
Phone
(518) 786-1600
Fax
(518) 786-1606
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 273554 NY Primary

Addresses

Primary practice location

6 Wellness Way Ste G06
Latham, NY 12110-2135

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700

Other identifiers 1

IdentifierTypeStateIssuer
03836808MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140626001784 NY Practitioner - Diagnostic Radiology 7517126667 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Geisel School of Medicine at Dartmouth, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians
Albany Medical Center HospitalGroup PAC ID 8224018999, 45 clinicians

Practice addresses (Care Compare)

159 Jefferson HTS
Catskill, NY 12414-1237
Phone (518) 828-7601

1783 Route 9
Halfmoon, NY 12065-2465

2546 Balltown Rd
Schenectady, NY 12309-1079

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

3757 Carman Rd
Schenectady, NY 12303-5438

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5149

6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700

711 Troy Schenectady Rd
Latham, NY 12110-2461

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273354NYMDEmergency Medicine Physician
273554NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Diagnostic Radiology CurrentSince Jul 21, 2014 Accepting new patients
Ellis Hospital CurrentSince Jan 7, 2019 Accepting new patients
Albany Medical Center Hospital Diagnostic Radiology CurrentSince Jul 21, 2014 Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Community Care Physicians, PC Diagnostic Radiology PastSince May 12, 2024 Accepting new patients
Albany Medical College Past Accepting new patients

Locations

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

47 New Scotland Ave
#113
Albany, NY 12208

1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

43 New Scotland Ave
#113
Albany, NY 12208
Phone (518) 262-3371

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

5 New Karner Rd
Guilderland, NY 12084
Phone (518) 869-8007

1783 Route 9
Ste 104
Halfmoon, NY 12065
Phone (518) 836-2428

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

711 Troy Schenectady Rd
Ste 114
Latham, NY 12110
Phone (518) 783-7070

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

6 Wellness Way
Ste G06
Latham, NY 12110
Phone (518) 782-1600

2976 Route 9W
Saugerties, NY 12477
Phone (518) 264-9400

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: mcooley23530@albanymed.direct-ci.com

Organizations & group practices 7

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1669509014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE G06",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102135",
            "telephone_number": "518-786-1600",
            "fax_number": "518-786-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "273554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03836808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.