Individual provider Active NPI

Daniel Harrison Cook, M.D.

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1750812103
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
52676 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-4444
Phone
(843) 792-1414
NPI assigned
Mar 27, 2017
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.069985 IL
Diagnostic Radiology Physician 2085R0202X 52676 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-4444

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Other practice location 1

2650 Ridge Ave # 1304
Evanston, IL 60201-1718
Phone (847) 570-4789

Other practice location 2

1210 W Faris Rd
Greenville, SC 29605-4444
Phone (864) 522-1800

Other identifiers 1

IdentifierTypeStateIssuer
125.069985OtherILILLINOIS MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230803004480 KY Practitioner - Diagnostic Radiology 9234408840 Reassigns benefits to 3 organizations
I20231128000956 IN Practitioner - Diagnostic Radiology 9234408840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates IncGroup PAC ID 9436045259, 57 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Northgate Medical Imaging LLCGroup PAC ID 5193744209, 43 clinicians

Practice addresses (Care Compare)

1141 Hospital Dr NW
Harrison County Hospital
Corydon, IN 47112-2164
Phone (812) 738-7830

1313 Saint Anthony PL
Louisville, KY 40204-1740
Phone (502) 587-7001

1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone (859) 260-6061

807 Northgate Blvd
Priority Radiology
New Albany, IN 47150-6419
Phone (812) 949-0807

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
54.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.069985ILMDInternal Medicine Physician
52676SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Oct 27, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Dec 1, 2024 Accepting new patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Oct 27, 2022 Accepting new patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Oct 27, 2022 Accepting new patients
Northgate Medical Imaging LLC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
KND Development 59, LLC CurrentSince Dec 1, 2024 Accepting new patients
Radiology Associates Inc Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Radiology Associates Inc Diagnostic Radiology PastSince Apr 3, 2022 Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

313 Federal Dr NW
Ste 20
Corydon, IN 47112
Phone (812) 734-3920

1214 Spring St
Ste 2
Jeffersonvlle, IN 47130
Phone (812) 206-8002

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

807 Northgate Blvd
New Albany, IN 47150
Phone (812) 206-8002

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

2530 Sir Barton Way
Ste 250
Lexington, KY 40509
Phone (859) 639-0030

1313 Saint Anthony Pl
Louisville, KY 40204
Phone (502) 587-7001

Organizations & group practices 8

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 8

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1750812103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294254444",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave # 1304",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011718",
            "country_code": "US",
            "telephone_number": "847-570-4789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 W Faris Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054444",
            "country_code": "US",
            "telephone_number": "864-522-1800",
            "fax_number": "864-522-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "DANIEL",
        "middle_name": "HARRISON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.069985",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "52676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS MEDICAL LICENSE",
            "identifier": "125.069985",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "171 Ashley Ave",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294254444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.