NPIMap

Individual provider Active NPI

Robert William Cooney, MD

  • Internal Medicine Physician
  • Anacortes, WA
National Provider Identifier
1851533137
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60573974 Issued in WA
Practice address
912 32ND St Ste a
Anacortes, WA 98221-3473
Phone
(360) 466-3136
Fax
(360) 446-0107
NPI assigned
Apr 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 MD156632 OR
Internal Medicine Physician 207R00000X MD60573974 WA Primary

Addresses

Primary practice location

912 32ND St Ste a
Anacortes, WA 98221-3473

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (360) 466-3136

Other practice location 1

94220 4th St
Gold Beach, OR 97444-7756
Phone (702) 453-3799

Other practice location 2

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 856-7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150821014654 WA Practitioner - HospitalistPractitioner - Internal Medicine 1355597949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians

Practice addresses (Care Compare)

1990 Hospital Dr
Suite 200
Sedro Woolley, WA 98284-9315
Phone (360) 856-8810

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California - San Leandro, PC Internal Medicine CurrentSince Jan 13, 2020 Accepting new patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Nov 6, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jul 28, 2015 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1990 Hospital Dr
Ste 110
Sedro Woolley, WA 98284
Phone (360) 856-8830

1990 Hospital Dr
Ste 200
Sedro Woolley, WA 98284
Phone (360) 856-4222

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: rcooney627346@direct.peacehealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1851533137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "360-466-3136",
            "fax_number": "360-466-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 32ND ST STE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-466-3136",
            "fax_number": "360-446-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94220 4th St",
            "address_purpose": "LOCATION",
            "city": "Gold Beach",
            "state": "OR",
            "postal_code": "974447756",
            "country_code": "US",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 E Fairhaven Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WA",
            "postal_code": "982331916",
            "country_code": "US",
            "telephone_number": "360-856-7960",
            "fax_number": "360-755-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COONEY",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD156632",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60573974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.