Active NPI
Richard Eugene Cook Jr., M.D.
- Internal Medicine Physician
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0063483
- Practice address
- 3450 Old Washington Rd
Suite 103
Waldorf, MD 20602-3248 - Phone
- (301) 472-4290
- Fax
- (240) 607-3609
- NPI assigned
- Nov 22, 2005
- Last updated
- Jul 13, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0063483 | MD | Primary |
Addresses
Primary practice location
3450 Old Washington Rd
Suite 103
Waldorf, MD 20602-3248
Mailing address
PO Box 215
Bryantown, MD 20617-0215
Phone (301) 472-4290
Other practice location 1
600 Holiday Plaza Dr Ste 501
Matteson, IL 60443-2359
Phone (312) 437-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 Old Washington Rd
Suite 103
Waldorf, MD 20602-3249
Phone (301) 472-4290
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063483 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Menocal Medical Services PA | Current | Accepting new patients | |
| Privia Care Center LLC | Internal Medicine | Current | Accepting new patients |
| Privia Care Center LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041
110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
12070 Old Line Ctr
Ste 302
Waldorf, MD 20602
Phone (301) 645-6667
3450 Old Washington Rd
Ste 103
Waldorf, MD 20602
Phone (301) 472-4290
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
Interoperability endpoints
- richard.cook.1@20527.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Frederick, MD
- NPI 1083795918
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar Health Home Care
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720828800000",
"number": "1811970056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "BRYANTOWN",
"state": "MD",
"postal_code": "206170215",
"telephone_number": "301-472-4290",
"fax_number": "240-607-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 OLD WASHINGTON RD",
"address_2": "SUITE 103",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023248",
"telephone_number": "301-472-4290",
"fax_number": "240-607-3609"
}
],
"practiceLocations": [
{
"address_1": "600 Holiday Plaza Dr Ste 501",
"address_purpose": "LOCATION",
"city": "Matteson",
"state": "IL",
"postal_code": "604432359",
"country_code": "US",
"telephone_number": "312-437-1023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "RICHARD",
"middle_name": "EUGENE",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2024-07-13",
"certification_date": "2024-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0063483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.