Randy I Cooper, MD - Medicare Nephrology in Peoria, AZ

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Randy I Cooper, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Peoria, Arizona. He went to Ohio State University College Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Southwest Kidney Institute Vascular Center Llc, Southwest Kidney Institute Plc and his current practice location is 7362 W Thunderbird Rd Ste 103, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 610-6152.

Randy I Cooper is licensed to practice in Arizona (license number 30432) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154316495.

Contact Information

Randy I Cooper, MD
7362 W Thunderbird Rd Ste 103,
Peoria, AZ 85381-5028
(480) 610-6152
(480) 610-6189

Map and Direction




Physician's Profile

Full NameRandy I Cooper
GenderMale
SpecialityNephrology
Experience31 Years
Location7362 W Thunderbird Rd Ste 103, Peoria, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Randy I Cooper attended and graduated from Ohio State University College Of Medicine in 1994
  NPI Data:
  • NPI Number: 1154316495
  • Provider Enumeration Date: 09/13/2005
  • Last Update Date: 10/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254233554
  • Enrollment ID: I20040504000973

Medical Identifiers

Medical identifiers for Randy I Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154316495NPI-NPPES
722464MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 30432 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southwest Kidney Dialysis - Phoenix (dva)Phoenix, AZDialysis facility
John C. Lincoln North Mountain HospitalPhoenix, AZHospital
Banner - University Medical Center PhoenixPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Kidney Institute Vascular Center Llc41838013505
Southwest Kidney Institute Plc822493098793

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randy I Cooper allows following entities to bill medicare on his behalf.
Entity NameSouthwest Kidney Institute Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659316008
PECOS PAC ID: 8224930987
Enrollment ID: O20040211001069
Entity NameSouthwest Kidney Institute Vascular Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134426893
PECOS PAC ID: 4183801350
Enrollment ID: O20110616000084
Entity NameSouthwest Kidney Institute Scottsdale Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902231012
PECOS PAC ID: 3577798313
Enrollment ID: O20131101000457
Entity NameSki Ambulatory Surgical Centers, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1275077414
PECOS PAC ID: 7911289301
Enrollment ID: O20170117001744
Entity NameSki Ambulatory Surgical Centers, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1174067318
PECOS PAC ID: 7911289301
Enrollment ID: O20170119001324
Entity NameSki Ambulatory Surgical Centers, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1023567260
PECOS PAC ID: 7911289301
Enrollment ID: O20170208002788

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randy I Cooper is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randy I Cooper, MD
2149 E Warner Rd, Suite 101,
Tempe, AZ 85284-3494

Ph: (480) 610-6100		Randy I Cooper, MD
7362 W Thunderbird Rd Ste 103,
Peoria, AZ 85381-5028

Ph: (480) 610-6152

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.