Individual provider Active NPI

Chad Joseph Cooper, M.D.

  • Gastroenterology Physician
  • Casper, WY
National Provider Identifier
1770876229
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12103A Issued in WY
Practice address
1441 Wilkins Cir
Casper, WY 82601-1337
Phone
(307) 233-2700
NPI assigned
May 17, 2011
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 48391 KY
Gastroenterology Physician 207RG0100X 12103A WY Primary

Addresses

Primary practice location

1441 Wilkins Cir
Casper, WY 82601-1337

Mailing address

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20190812002693 WY Practitioner - GastroenterologyPractitioner - Internal Medicine 5799087953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates, LLCGroup PAC ID 8820902695, 14 clinicians

Practice addresses (Care Compare)

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy146
Upper gastrointestinal (GI) endoscopy for acid reflux346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12103AWYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Carbon County CurrentSince Jun 24, 2024 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 24, 2024 Accepting new patients
Gastroenterology Associates, LLC Gastroenterology CurrentSince Aug 1, 2019 Accepting new patients

Locations

1201 E 3rd St
Casper, WY 82601
Phone (307) 234-4585

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792

6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600

1906 E Cedar St
Rawlins, WY 82301
Phone (307) 324-2294

2012 Elm St
Rawlins, WY 82301
Phone (307) 234-0003

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

150 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-3121

Organizations & group practices 4

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 5

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1770876229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-233-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-233-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHAD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "48391",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WY",
            "license": "12103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.