Individual provider Active NPI

Elissa Cooke Thompson, MD

  • Cardiovascular Disease Physician
  • Hyannis, MA
National Provider Identifier
1710157615
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
N6715 Issued in TX
Practice address
25 Main St
Hyannis, MA 02601-3129
Phone
(508) 778-1829
Fax
(508) 778-0113
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 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 N6715 TX Primary

Addresses

Primary practice location

25 Main St
Hyannis, MA 02601-3129

Mailing address

25 Main St
Hyannis, MA 02601-3129
Phone (508) 778-1829

Other names 1

  • Elissa Nora Cooke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20141022002284 MA Practitioner - Cardiovascular Disease (Cardiology) 2961570874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Park St
Hyannis, MA 02601-5205
Phone (508) 862-5565

25 Main St
Hyannis, MA 02601-3129
Phone (508) 778-1829

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

35 Wilkens LN
Hyannis, MA 02601-2082
Phone (508) 862-5565

525 Long Pond Dr
Harwich, MA 02645-1227
Phone (508) 430-3330

65 Cedar St
Hyannis, MA 02601-3009
Phone (508) 790-0611

90 Ter Heun Dr
Falmouth, MA 02540-2533
Phone (508) 774-3205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Physicians of Cape Cod Hospital Cardiovascular Disease CurrentSince Oct 1, 2014 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Sibley Billing Services, Inc. Cardiovascular Disease Past Accepting new patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease Past Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

25 Main St
Hyannis, MA 02601
Phone (508) 540-0604

Interoperability endpoints

  • Direct secure messaging: ethompson14095@direct.capecodhealthcare.masshiway.net

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 2

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1710157615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013129",
            "telephone_number": "508-778-1829",
            "fax_number": "508-778-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013129",
            "telephone_number": "508-778-1829",
            "fax_number": "508-778-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELISSA",
        "middle_name": "COOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N6715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "COOKE",
            "middle_name": "NORA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.