SALAHUDEEN Y JONES COOK – Nurse Practitioner, NPI 1134081698

SALAHUDEEN Y JONES COOK is a healthcare provider. based in Laveen, Arizona. specializing in NURSE PRACTITIONER. They hold a License No. 233058 (AZ). The NPI Number for SALAHUDEEN Y JONES COOK is 1134081698

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
SALAHUDEEN Y JONES COOK
NPI
1134081698
Phone
(602) 503-6350
Address
4518 W PARK ST
Enumeration Date
2 December 2025
Last Update Date
17 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2025 (1 year ago)
PAC ID
8426534173
Group Practice PAC ID
6709850241
Professional Enrollment ID
I20260112003669
Address ID
AZ853814822PE8332XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

7,575 NURSE PRACTITIONER in AZ

Provider Addresses for SALAHUDEEN Y JONES COOK

  • 4518 W PARK ST

    LAVEEN, AZ 853394279

    Phone: (602) 503-6350

    Type: Mailing

  • 8332 W THUNDERBIRD RD

    PEORIA, AZ 853814822

    Phone: (866) 389-2727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260112003669INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85339)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709850241View full group profile

Reviews

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Frequently asked questions

How do I look up SALAHUDEEN Y JONES COOK by NPI?
Use NPI 1134081698 when you need to reference SALAHUDEEN Y JONES COOK in forms, claims, or directories.
Is SALAHUDEEN Y JONES COOK's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SALAHUDEEN Y JONES COOK?
The page reflects Nurse Practitioner for SALAHUDEEN Y JONES COOK. Clinical services aligned with this taxonomy classification.
What location metadata exists for SALAHUDEEN Y JONES COOK?
The page summarizes Laveen, Arizona for SALAHUDEEN Y JONES COOK; expand the address list for detail.
How can I contact SALAHUDEEN Y JONES COOK?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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