KEVIN D COOPER (MD) – Clinical & Laboratory Dermatological Immunology Physician, NPI 1649299090

KEVIN D COOPER (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 35-068611 (OH). The NPI Number for KEVIN D COOPER (MD) is 1649299090

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN D COOPER (MD)
NPI
1649299090
Phone
(216) 844-3111
Address
11100 EUCLID AVE FL 3
Enumeration Date
18 July 2006
Last Update Date
17 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
2165935500
Graduation Year
1977 (49 years ago)
PAC ID
8820986490
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20040305000635
Address ID
OH441226046BE3999XRDXX300

Contacts

Secure Messaging
kcooper@uhhospitals.encitedirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

609 DERMATOLOGY in OH

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Provider Addresses for KEVIN D COOPER (MD)

  • 11100 EUCLID AVE FL 3

    CLEVELAND, OH 441061716

    Phone: (216) 844-3111

    Type: Mailing

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-8200

    Fax: (216) 286-6341

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $4,751.

Total Amount is formed as General ($4,751) + Research ($0) + Ownership ($0) = $4,751.

Last reported payment date: 2024-08-04 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($2,576).

Total Amount

$4,751

General + Research + Ownership

Payments

7

Total payment records

General Amount

$4,751

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-04

Latest reported date

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: 2004-03-05

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
I20040305000635IDermatologyOHTBD

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
17003Destruction of precancer skin growth, 2-14 growths29550$0
99213Established patient office or other outpatient visit, 20-29 minutes171113$0
99214Established patient office or other outpatient visit, 30-39 minutes12887$0
17000Destruction of precancer skin growth, 1 growth10871$0
11102Biopsy of related skin growth, first growth8159$0
View full utilization report →

Insurance plans in this area (ZIP 44106)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Internal MedicineLA
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH

Reviews

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Frequently asked questions

Is there an official ID for KEVIN D COOPER (MD) in U.S. healthcare records?
The official identifier for KEVIN D COOPER (MD) is NPI 1649299090.
Would KEVIN D COOPER (MD) appear as active to a payer?
You can treat KEVIN D COOPER (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KEVIN D COOPER (MD)'s focus?
For KEVIN D COOPER (MD), the primary taxonomy reads as Clinical & Laboratory Dermatological Immunology Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is KEVIN D COOPER (MD) registered?
Use Cleveland, Ohio as the headline location for KEVIN D COOPER (MD) here.
Does KEVIN D COOPER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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