Individual provider Active NPI

Yuri East Cook, M.D., FAAP

  • Pediatrics Physician
  • Allen, TX
National Provider Identifier
1962454264
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K4667 Issued in TX
Practice address
1111 Raintree Cir Ste 240
Allen, TX 75013-4902
Phone
(214) 644-0280
Fax
(214) 644-0294
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K4667 TX Primary

Addresses

Primary practice location

1111 Raintree Cir Ste 240
Allen, TX 75013-4902

Mailing address

1111 Raintree Cir Ste 240
Allen, TX 75013-4902
Phone (214) 644-0280

Other identifiers 1

IdentifierTypeStateIssuer
129982807MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218000330 TX Practitioner - Pediatric Medicine 1759445869 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4667TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Feb 12, 2025 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Feb 12, 2025 Accepting new patients
Yuri E. Cook, M.D., PA Pediatrics Past Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients

Locations

1111 Raintree Cir
Ste 240
Allen, TX 75013
Phone (214) 644-0280

1935 Medical District Dr
#908
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1962454264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134902",
            "telephone_number": "214-644-0280",
            "fax_number": "214-644-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134902",
            "telephone_number": "214-644-0280",
            "fax_number": "214-644-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "YURI",
        "middle_name": "EAST",
        "credential": "M.D., FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K4667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129982807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.