MISS TEETHENA COMEKO COOPER (MD) – Anesthesiology Physician, NPI 1730477324
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,447 ANESTHESIOLOGY in IN
Provider Addresses for MISS TEETHENA COMEKO COOPER (MD)
1907 W Sycamore St
Kokomo, IN 469015148
Phone: (765) 452-5611
Type: Location
4350 S PRAIRIE AVE
APARTMENT 4H
CHICAGO, IL 606534856
Phone: (706) 405-8007
Type: Mailing
30 W RAMPART ST STE 200
SHELBYVILLE, IN 461768846
Phone: (317) 421-2012
Fax: (317) 398-1851
Type: Mailing
2451 INTELLIPLEX DR
SHELBYVILLE, IN 461768580
Phone: (317) 392-3211
Fax: (317) 398-1851
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: 2017-02-28
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141107000088 | I | Anesthesiology | IL | TBD |
| I20170228001247 | I | Anesthesiology | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 15 | 15 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 46901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IL | |
| Mental Health Counselor | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Mental Health Counselor | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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