Individual provider Active NPI

Karen Cooper, M.D.

  • Internal Medicine Physician
  • Lake Placid, NY
National Provider Identifier
1780632869
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1615661 Issued in NY
Practice address
1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112
Phone
(518) 523-7575
Fax
(518) 523-7577
NPI assigned
May 4, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1615661 NY Primary

Addresses

Primary practice location

1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112

Mailing address

1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112
Phone (518) 523-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080211000081 NY Practitioner - Internal Medicine 0244313542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

Practice addresses (Care Compare)

203 Old Military Rd
Lake Placid, NY 12946-1738
Phone (518) 523-1717

7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1615661NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Medical Center Internal Medicine CurrentSince Sep 6, 2016 Accepting new patients
Adirondack Medical Center CurrentSince Sep 6, 2016 Accepting new patients
Karen Cooper MD Past Accepting new patients
Adirondack Medical Center Past Accepting new patients
Mountain Medical Services Past Accepting new patients

Locations

2841 Nys Route 73
Keene, NY 12942
Phone (518) 576-9326

203 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-1327

29 Church St
Lake Placid, NY 12946
Phone (518) 523-1327

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

285 County Route 47
Saranac Lake, NY 12983
Phone (518) 897-2800

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Organizations & group practices 5

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 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1780632869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 SARANAC AVE",
            "address_2": "SUITE 100",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461112",
            "telephone_number": "518-523-7575",
            "fax_number": "518-523-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 SARANAC AVE",
            "address_2": "SUITE 100",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461112",
            "telephone_number": "518-523-7575",
            "fax_number": "518-523-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1615661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, NY

Sources for this page

Verify at the official NPI Registry.