Active NPI
David A Cooke, MD
- Cardiovascular Disease Physician
- Winfield, IL
National Provider Identifier
1942234430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036055493
- Practice address
- 25 Winfield Road
Winfield, IL 60190 - Phone
- (630) 933-4700
- Fax
- (630) 933-4721
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036055493 | IL | Primary |
| Hospitalist Physician | 208M00000X | 036055493 | IL |
Addresses
Primary practice location
25 Winfield Road
Winfield, IL 60190
Mailing address
25 Winfield Road
Winfield, IL 60190
Phone (630) 933-4700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
| 0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
| 036055493 | Medicaid | IL | |
| 363149833 | Other | IL | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036055493 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy J. Betti, M.D.S.C. | Past | Accepting new patients | |
| Access Community Health Network | Past | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Clinic/Center
- Carol Stream, IL
- NPI 1861650889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243123200000",
"number": "1942234430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WINFIELD ROAD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "60190",
"telephone_number": "630-933-4700",
"fax_number": "630-933-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WINFIELD ROAD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "60190",
"telephone_number": "630-933-4700",
"fax_number": "630-933-4721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "DAVID",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2009-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036055493",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036055493",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPG HFS PAYEE ID",
"identifier": "3631498336019001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "0222075",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036055493",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "363149833",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.