Individual provider Active NPI

Ralph Duane Cook, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Leesburg, FL
National Provider Identifier
1689602161
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME75508 Issued in FL
Practice address
801 E Dixie Ave
Leesburg, FL 34748
Phone
(352) 742-1171
Fax
(352) 742-7241
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME75508 FL Primary

Addresses

Primary practice location

801 E Dixie Ave
Leesburg, FL 34748

Mailing address

PO Box 945921
Atlanta, GA 30394-5921
Phone (386) 231-4529

Other practice location 1

700 Doctors Ct
Leesburg, FL 34748-7314
Phone (352) 787-9838

Other identifiers 4

IdentifierTypeStateIssuer
42936AOtherFLBCBS FL
253974800MedicaidFL
42936BOtherFLBCBS FL
42936OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040326000933 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6103718945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Texas Medical Branch at Galveston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Mar 2, 2021 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Feb 10, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Mar 2, 2021 Accepting new patients
Stuart Cardiovascular Associates, PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jul 31, 2006 Accepting new patients
Venice Cardiovascular Anesthesia Associates PLLC PastSince May 4, 2013 Accepting new patients
Stuart Cardiovascular Anesthesia Associates PLLC PastSince Jul 31, 2006 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

737 Highway 466
Lady Lake, FL 32159
Phone (352) 259-6334

700 Doctors Ct
Leesburg, FL 34748
Phone (352) 787-9838

801 E Dixie Ave
Ste 101
Leesburg, FL 34748
Phone (352) 326-4031

801 E Dixie Ave
Leesburg, FL 34748
Phone (352) 315-0627

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1061 Medical Center Dr
Ste 203
Orange City, FL 32763
Phone (386) 774-4200

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

3310 Waterman Way
Tavares, FL 32778
Phone (352) 343-1216

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rcook2694178@adventhealth.direct-ci.com

Organizations & group practices 6

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.

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1689602161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945921",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303945921",
            "telephone_number": "386-231-4529",
            "fax_number": "386-368-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-742-1171",
            "fax_number": "352-742-7241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Doctors Ct",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487314",
            "country_code": "US",
            "telephone_number": "352-787-9838",
            "fax_number": "352-787-8705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "RALPH",
        "middle_name": "DUANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME75508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "42936A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253974800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "42936B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "42936",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.