Active NPI
Johnathan Kawika Cooper
- Hospitalist Physician
- Cincinnati, OH
National Provider Identifier
1730874215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.155981
- Practice address
- 3188 Bellevue Ave
Cincinnati, OH 45219-2369 - Phone
- (513) 558-7581
- Fax
- (513) 558-4399
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 35.155981 | OH | Primary |
Addresses
Primary practice location
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Mailing address
PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200
Other practice location 1
5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 663-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230822002098 | OH | Order and Referring Only - Internal Medicine | 8527420603 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.155981 | OH | MD | Hospitalist Physician |
Interoperability endpoints
- jcooper2735886@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1730874215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-585-6200",
"fax_number": "513-245-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3188 BELLEVUE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192369",
"telephone_number": "513-558-7581",
"fax_number": "513-558-4399"
}
],
"practiceLocations": [
{
"address_1": "5300 N Meadows Dr",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "OH",
"postal_code": "431232546",
"country_code": "US",
"telephone_number": "614-663-4550",
"fax_number": "614-663-4555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "JOHNATHAN",
"middle_name": "KAWIKA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.155981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.