Individual provider Active NPI

Anthony Charles Cook, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Ardmore, PA
National Provider Identifier
1740596899
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006189 Issued in PA
Practice address
121 Coulter Ave
Suite 109
Ardmore, PA 19003-2418
Phone
(610) 645-6314
Fax
(610) 645-9923
NPI assigned
Aug 27, 2010
Last updated
Sep 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006189 PA Primary

Addresses

Primary practice location

121 Coulter Ave
Suite 109
Ardmore, PA 19003-2418

Mailing address

121 Coulter Ave
Suite 109
Ardmore, PA 19003-2418
Phone (215) 990-0264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130722000291 PA Practitioner - Podiatry 5193966950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael R. Grossman, DPMGroup PAC ID 2668452285, 4 clinicians

Practice addresses (Care Compare)

2 Bala PLZ
Bala Cynwyd, PA 19004-1501
Phone (610) 645-6314

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.84 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
77.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue75
Removal of skin lesions106
Removal of nail tissue816
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Grossman, DPM Foot & Ankle Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anthony.cook@mlfac.eclinicaldirectplus.com

Organizations & group practices 2

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 3

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1740596899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 COULTER AVE",
            "address_2": "SUITE 109",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032418",
            "telephone_number": "215-990-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COULTER AVE",
            "address_2": "SUITE 109",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032418",
            "telephone_number": "610-645-6314",
            "fax_number": "610-645-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPM, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.