Active NPI
Darrella Lynette Cooper, MD
- Emergency Medicine Physician
- Beaumont, TX
National Provider Identifier
1902818552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M16000
- Practice address
- 3080 College St
Beaumont, TX 77701-4606 - Phone
- (409) 835-3781
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M16000 | TX | Primary |
Addresses
Primary practice location
3080 College St
Beaumont, TX 77701-4606
Mailing address
2245 Hazel St
Beaumont, TX 77701-1540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M16000 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Emergency Medicine Associates PLLC | Current | Accepting new patients | |
| Emergency Health Services Associates, P.a. | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine of Indiana | Emergency Medicine | Past | Accepting new patients |
| Northern Indiana Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Texas Emergency Room Services , PA | Emergency Medicine | Past | Accepting new patients |
| G.T. Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
3080 College St
Beaumont, TX 77701
Phone (409) 212-5000
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Beaumont, TX
- NPI 1881716983
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1225088479
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1063462299
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1306894092
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1952356883
-
- Emergency Medicine Physician
- Bloomington, IN
- NPI 1497185797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1902818552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 HAZEL ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777011540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014606",
"telephone_number": "409-835-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "DARRELLA",
"middle_name": "LYNETTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M16000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.