SHONTREAL MONIQUE COOPER (M.D.) – Obstetrics & Gynecology Physician, NPI 1235540154
Obstetrics & Gynecology Physician
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NPPES metrics only — not quality of care.
827 OBSTETRICS/GYNECOLOGY in CT
Provider Addresses for SHONTREAL MONIQUE COOPER (M.D.)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
263 FARMINGTON AVENUE
FARMINGTON, CT 060308082
Phone: (860) 679-2792
Fax: (860) 679-1627
Type: Mailing
1600 SW Archer Rd
Gainesville, FL 326102572
Phone: (352) 273-7584
Fax: (352) 392-3498
Type: Location
620 S Fleishel Ave
Tyler, TX 757012041
Phone: (903) 606-4900
Type: Location
1330 Clark St
Cambridge, OH 437259614
Phone: (740) 891-9000
Type: Location
25 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 495032572
Phone: (616) 391-3681
Type: Location
263 FARMINGTON AVE
FARMINGTON, CT 060308082
Phone: (860) 679-2792
Fax: (860) 679-1627
Type: Mailing
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: 2025-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20220609001908 | I | Obstetrics/Gynecology | GA | TBD |
| I20230523001461 | I | Obstetrics/Gynecology | MI | TBD |
| I20240718002811 | I | Obstetrics/Gynecology | TX | TBD |
| I20250416003240 | I | Obstetrics/Gynecology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Vascular Surgery | IL | |
| - | MI | |
| - | MI | |
| A N E S T H E S I O L O G Y | TX | |
| Clinical Social Worker | MI |
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