DR. NOAH EAMON COOK (M.D.) – Pulmonary Disease Physician, NPI 1093057564

DR. NOAH EAMON COOK (M.D.) is a healthcare provider. based in Montrose, California. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. A142961 (CA). The NPI Number for DR. NOAH EAMON COOK (M.D.) is 1093057564

Main info

Male
13 Years Of Experience
Name
DR. NOAH EAMON COOK (M.D.)
NPI
1093057564
Phone
(650) 269-3752
Address
PO BOX 597
Enumeration Date
22 March 2013
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3102950075
Graduation Year
2013 (13 years ago)
PAC ID
6406141456
Group Practice PAC ID
9830418342
Professional Enrollment ID
I20260312003013
Address ID
CA903014033IN501XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

21,558 INTERNAL MEDICINE in CA

Provider Addresses for DR. NOAH EAMON COOK (M.D.)

  • PO BOX 597

    MONTROSE, CA 910210597

    Phone: (650) 269-3752

    Type: Mailing

  • 1812 VERDUGO BLVD

    GLENDALE, CA 912081407

    Phone: (650) 269-3752

    Type: Location

  • 1300 ETHAN WAY STE 600

    SACRAMENTO, CA 958252296

    Phone: (916) 482-7623

    Fax: (916) 482-3647

    Type: Mailing

  • 5 MEDICAL PLAZA DR STE 190

    ROSEVILLE, CA 956612867

    Phone: (916) 786-7498

    Fax: (916) 786-2715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $551.

Total Amount is formed as General ($551) + Research ($0) + Ownership ($0) = $551.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: ViiV Healthcare Company ($436).

Total Amount

$551

General + Research + Ownership

Payments

31

Total payment records

General Amount

$551

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-03-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160830000900IInternal MedicineCATBD
I20260312003013IPulmonary DiseaseCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16680$0
99291Critical care, first 30-74 minutes6750$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 91021)

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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: 9830418342View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I verify DR. NOAH EAMON COOK (M.D.) with an NPI only?
You can start verification with NPI 1093057564 for DR. NOAH EAMON COOK (M.D.), then check state licensing separately.
Does the file indicate DR. NOAH EAMON COOK (M.D.) is practicing under active NPI?
Directory data currently reports DR. NOAH EAMON COOK (M.D.) as active.
What taxonomy line describes DR. NOAH EAMON COOK (M.D.)?
For research purposes, treat DR. NOAH EAMON COOK (M.D.) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. NOAH EAMON COOK (M.D.)?
DR. NOAH EAMON COOK (M.D.)'s geographic hint is Montrose, California in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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