Individual provider Active NPI

Rex Dale Cooley I, D.O.

  • Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1891760500
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3733 Issued in AZ
Practice address
1871 W Orange Grove Rd
Suite 135
Tucson, AZ 85704-1289
Phone
(520) 382-3050
Fax
(520) 382-3055
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3733 AZ Primary

Addresses

Primary practice location

1871 W Orange Grove Rd
Suite 135
Tucson, AZ 85704-1289

Mailing address

1871 W Orange Grove Rd
Suite 135
Tucson, AZ 85704-1289
Phone (520) 382-3050

Other identifiers 1

IdentifierTypeStateIssuer
687486MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rex.cooley.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071108000731 AZ Practitioner - Orthopedic Surgery 8325038672 Reassigns benefits to 1 organization
I20240628001218 TX Practitioner - Orthopedic Surgery 8325038672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 901-3549

1871 W Orange Grove Rd
Tucson, AZ 85704-1289

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8100

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement24
Knee replacement62
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3733AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 18, 2024 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Apr 1, 2011 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 18, 2024 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Apr 1, 2011 Accepting new patients
Rex D Cooley Jr DO PC Orthopaedic Surgery PastSince Jul 1, 2002 Accepting new patients

Locations

1295 W Duval Mine Rd
Ste 111
Green Valley, AZ 85614
Phone (520) 232-5285

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

16260 S Rancho Sahuarita Blvd
Ste 220
Sahuarita, AZ 85629
Phone (520) 352-1004

16260 S Rancho Sahuarita Blvd
Ste 230
Sahuarita, AZ 85629
Phone (520) 352-1072

13101 N Oracle Rd
Ste B
Tucson, AZ 85739

2121 N Craycroft Rd
Bldg 8
Tucson, AZ 85712
Phone (520) 230-7156

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1871 W Orange Grove Rd
Ste 135
Tucson, AZ 85704
Phone (520) 229-9600

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1871 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 229-9600

Interoperability endpoints

  • Direct secure messaging: rex.cooley.1@1576.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1891760500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE RD",
            "address_2": "SUITE 135",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041289",
            "telephone_number": "520-382-3050",
            "fax_number": "520-382-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE RD",
            "address_2": "SUITE 135",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041289",
            "telephone_number": "520-382-3050",
            "fax_number": "520-382-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "REX",
        "middle_name": "DALE",
        "name_suffix": "I",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "3733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687486",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rex.cooley.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1871 W Orange Grove Rd",
            "address_2": "Suite 135",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857041289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.