Jonathan M Cooper, DO
Individual provider Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Eagan, MN
NPI 1720028830 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1720028830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License
- 47491 (MN)
- Practice address
- 2700 Vikings Cir
Eagan, MN 55121 - Phone
- (952) 456-7600
- Fax
- (952) 456-7601
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 41
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Infinite Health Collaborative, PA
Lakewood Health System
Practice addresses (Care Compare)
2700 Vikings Cir
Eagan, MN 55121-1002
Phone (952) 456-7600
49725 County
Staples, MN 56479-5280
Phone (218) 894-1515
Hospital & facility affiliations
- M Health Fairview Ridges Hospital
- Ridgeview Medical Center
- Lakewood Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050915000503 | MN | Practitioner - Sports Medicine |
1456384890 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47491 | MN | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| 49214 | WI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Orthopaedic Surgery | Current |
Accepting new patients |
| Infinite Health Collaborative, PA | Orthopaedic Surgery | Current |
Accepting new patients |
| Lakewood Health System | Current |
Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Lakewood Health System | Current |
Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| Bone & Joint Clinic S.C. | Orthopaedic Surgery | Past | Accepting new patients |
| St. Croix Orthopaedics, PA | Past | Accepting new patients |
Locations
2700 Vikings Cir
Eagan, MN 55121
Phone (952) 456-7600
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
49725 County 83
Staples, MN 56479
Phone (218) 894-1033
Interoperability endpoints
- jcooper623322@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 47491 | MN | |
| Orthopaedic Surgery Physician | 207X00000X | 49214 | WI | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 49214 | WI | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 47491 | MN | Yes |
Addresses
Primary practice location
2700 Vikings Cir
Eagan, MN 55121
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (763) 520-7870
Other practice location 1
435 Phalen Blvd
HealthPartners Speciality Center 435
St. Paul, MN 55130-5302
Phone (651) 254-8300
Other providers in Eagan, MN
- Consonus Pharmacy Services Minnesota, LLC
- Adam Cook
- Denise Cook
- Donald Cook
- Caitlin J Coombs
- Kathryn Ann Corazzo
- Nathan Michael Cornelius
- Cornerstone Family Chiropractic, PLLC
- Christina Corwin
- Costco Wholesale Corporation
All providers in Eagan, MN · Sports Medicine (Orthopaedic Surgery) Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.