COOPER R GUNDRY (MD) – Diagnostic Radiology Physician, NPI 1659348431

COOPER R GUNDRY (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 33771 (MN). The NPI Number for COOPER R GUNDRY (MD) is 1659348431

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
COOPER R GUNDRY (MD)
NPI
1659348431
Phone
(952) 542-8553
Address
PO BOX 1450 NW6035
Enumeration Date
1 March 2006
Last Update Date
17 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883655514
Graduation Year
1983 (43 years ago)
PAC ID
9830092246
Group Practice PAC ID
3678707338
Professional Enrollment ID
I20100923000127
Address ID
FL333013800FO1610XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

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Provider Addresses for COOPER R GUNDRY (MD)

  • PO BOX 1450 NW6035

    MINNEAPOLIS, MN 554856035

    Phone: (952) 542-8553

    Fax: (952) 513-6880

    Type: Mailing

  • Park Place East, 5775, Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    SUITE 190

    ST LOUIS PARK, MN 55416

    Phone: (952) 541-1840

    Fax: (952) 513-6880

    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: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20100923000127IDiagnostic RadiologyFLTBD
I20180212001191IDiagnostic RadiologyAZTBD
I20230907003549IDiagnostic RadiologyTXTBD
I20250506002837IDiagnostic RadiologyNYTBD
I20250829002521IDiagnostic RadiologyILTBD
I20251015002499IDiagnostic RadiologyIATBD
I20251021000338IDiagnostic RadiologyCATBD

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
73221Mri scan of arm joint without contrast203187$0
73721Mri scan of leg joint without contrast161151$0
73718Mri scan of leg without contrast3533$0
View full utilization report →

Insurance plans in this area (ZIP 55485)

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Provider's Procedures

COOPER R GUNDRY (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMN20610Aspiration and/or injection of large joint or joint capsule8176

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: 3678707338View full group profile
NameSpecialtyState
Diagnostic RadiologyNC
Diagnostic RadiologyTX
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyCA
Diagnostic RadiologyFL
Diagnostic RadiologyOH
Diagnostic RadiologyNY
Diagnostic RadiologyMN
Diagnostic RadiologyNY

Reviews

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Frequently asked questions

Does COOPER R GUNDRY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — COOPER R GUNDRY (MD) uses 1659348431.
Does CMS list COOPER R GUNDRY (MD) as active?
Yes — COOPER R GUNDRY (MD) is active in the NPI listing used on this page.
What taxonomy line describes COOPER R GUNDRY (MD)?
For research purposes, treat COOPER R GUNDRY (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does COOPER R GUNDRY (MD) serve?
COOPER R GUNDRY (MD)'s listing highlights Minneapolis, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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