KEITH E COOPER (DO) – Internal Medicine Physician, NPI 1477505063

KEITH E COOPER (DO) is a healthcare provider. based in Sun prairie, Wisconsin. specializing in FAMILY PRACTICE, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 65886-21 (WI). The NPI Number for KEITH E COOPER (DO) is 1477505063

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
KEITH E COOPER (DO)
NPI
1477505063
Phone
(608) 825-3500
Address
10 TOWER DR
Enumeration Date
16 May 2006
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6088253500
Graduation Year
1994 (32 years ago)
PAC ID
8527256486
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20160727000829
Address ID
WI535901239SU10XXXDRXX300

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
kcooper507637@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

3,063 FAMILY PRACTICE in WI

Provider Addresses for KEITH E COOPER (DO)

  • 10 TOWER DR

    SUN PRAIRIE, WI 535901239

    Phone: (608) 825-3500

    Fax: (608) 825-3676

    Type: Mailing

  • 849, Kellogg Avenue, Janesville, Rock County, Wisconsin, 53546, United States

    JANESVILLE, WI 535462808

    Phone: (608) 755-7960

    Fax: (608) 755-7873

    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: 2016-07-27

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
I20160727000829IFamily PracticeWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes244145$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14745$0
99213Established patient office or other outpatient visit, 20-29 minutes5146$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4949$0
99238Hospital discharge day management, 30 minutes or less3129$0
View full utilization report →

Insurance plans in this area (ZIP 53590)

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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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
N E U R O L O G YWI
Family PracticeWI

Reviews

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Frequently asked questions

How is KEITH E COOPER (DO) identified in CMS data?
CMS-hosted NPPES data lists KEITH E COOPER (DO) with NPI 1477505063.
Is KEITH E COOPER (DO) still practicing?
KEITH E COOPER (DO) is currently listed as active in the public NPI registry.
What taxonomy line describes KEITH E COOPER (DO)?
For research purposes, treat KEITH E COOPER (DO) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KEITH E COOPER (DO) list a practice location?
Patients near Sun Prairie, Wisconsin may find KEITH E COOPER (DO) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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