Individual provider Active NPI

Jason J Cool, M.D.

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1700886512
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31030 Issued in AZ
Practice address
4444 N 32ND St Ste 175
Phoenix, AZ 85018-3999
Phone
(602) 952-0002
Fax
(602) 224-9119
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 31030 AZ Primary

Addresses

Primary practice location

4444 N 32ND St Ste 175
Phoenix, AZ 85018-3999

Mailing address

4444 N 32ND St Ste 175
Phoenix, AZ 85018-3999
Phone (602) 952-0002

Other identifiers 2

IdentifierTypeStateIssuer
86-0338466OtherAZTAX-ID
763632MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040114000256 AZ Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6305747338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Creighton University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1890 E Florence Blvd
Suite 1
Casa Grande, AZ 85122-5642
Phone (520) 381-8850

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

708 S Coeur D Alene LN
Suite 100
Payson, AZ 85541-5662
Phone (928) 472-7440

708 S Coeur D'Alene Lane
Suite a
Payson, AZ 85541-5662
Phone (602) 726-8805

708 S Coeur D'Alene LN
Payson, AZ 85541-5662
Phone (928) 474-2175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 23, 2019 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Apr 30, 2018 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Jan 23, 2019 Accepting new patients
Arizona Digestive Health, PC PastSince Feb 1, 2009 Accepting new patients
Premier Cardiovascular Center, PLC Cardiovascular Disease Past Accepting new patients
Advanced Cardiac Specialists, Chartered Past Accepting new patients

Locations

1890 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-8850

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

803 N Salk Dr
Casa Grande, AZ 85122
Phone (480) 917-3706

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

1910 E Thomas Rd
Ste 101
Phoenix, AZ 85016
Phone (480) 470-0003

2777 E Camelback Rd
Ste 230
Phoenix, AZ 85016
Phone (602) 952-0002

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

2632 N 20th St
Phoenix, AZ 85006
Phone (602) 264-6281

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016

4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002

6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: jason.cool.1@600.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1700886512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183999",
            "telephone_number": "602-952-0002",
            "fax_number": "602-224-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183999",
            "telephone_number": "602-952-0002",
            "fax_number": "602-224-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOL",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "31030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID",
            "identifier": "86-0338466",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763632",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.