Individual provider Active NPI

Cherelle Arra Lane-Cooper, D.O

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1841486727
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0048247 Issued in MD
Practice address
9106 Philadelphia Rd Ste 200
Baltimore, MD 21237-4333
Phone
(410) 780-1980
Fax
(410) 780-1984
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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 H0048247 MD Primary

Addresses

Primary practice location

9106 Philadelphia Rd Ste 200
Baltimore, MD 21237-4333

Mailing address

9106 Philadelphia Rd Ste 200
Baltimore, MD 21237-4333
Phone (410) 780-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080520000788 MD Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 9234208968 Reassigns benefits to 1 organization
I20110401000735 DC Practitioner - Internal Medicine 9234208968 Reassigns benefits to 1 organization
I20240103002137 VA Practitioner - Internal Medicine 9234208968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melodys Consulting LLCGroup PAC ID 5092053694, 15 clinicians

Practice addresses (Care Compare)

2980 Centreville Rd
Herndon, VA 20171-6254
Phone (877) 295-3747

9460 Amberdale Dr
Suite G2
North Chesterfield, VA 23236-1259
Phone (804) 728-2278

Hospital & facility affiliations

  • Welcome Homecare Home health agency, Richmond, VA, CCN 497455
  • Brookside Home Health, an Amedisys Company Home health agency, Williamsburg, VA, CCN 497415
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Melodys Consulting LLC CurrentSince Dec 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients
Park Heights Medical Clinic LLC Past Accepting new patients

Locations

3600 Mountain Rd
Glen Allen, VA 23060
Phone (804) 672-6725

9460 Amberdale Dr
Ste G2
North Chesterfield, VA 23236
Phone (804) 728-2278

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1841486727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374333",
            "telephone_number": "410-780-1980",
            "fax_number": "410-780-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374333",
            "telephone_number": "410-780-1980",
            "fax_number": "410-780-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE-COOPER",
        "first_name": "CHERELLE",
        "middle_name": "ARRA",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0048247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.