Charles Key Cooper, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

D0053185 Issued in MD

Practice address

2401 W. Baltimore St
Baltimore, MD 21223

Phone

(410) 362-3331

NPI assigned

Jul 8, 2009

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Internal Medicine

Education

Georgetown University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Baden Medical Service IncorporatedGroup PAC ID 4981632650, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Brandywine, MD
  • NPI 1912927344

  DC, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lexington Park, MD
  • NPI 1487469243
  NPD
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Oxon Hill, MD
  • NPI 1083950521
  NPD (past)
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Capitol Heights, MD
  • NPI 1275783615
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1962631218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211520939",
            "telephone_number": "301-796-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W. BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21223",
            "telephone_number": "410-362-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1458 Addison Rd S",
            "address_purpose": "LOCATION",
            "city": "Capitol Heights",
            "state": "MD",
            "postal_code": "207434413",
            "country_code": "US",
            "telephone_number": "301-324-1500",
            "fax_number": "301-324-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHARLES",
        "middle_name": "KEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053185",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0053185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405028200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heavenly Cooper-Hill
• Shira Cooper-Satt
• Ajia R Cooper
• Aziza Aisha Cooper
• Candace Cooper, RD, MS
• Daa'Iyah Rajeeyah Cooper, M.D.
• Danielle Beth Cooper, M.S. CCC-SLP
• David Cooper, DO
• David S Cooper, M.D.
• Dawson Cooper, MD

• Infectious Disease Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Infectious Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.

Verify at the official NPI Registry.