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KENNETH ROBERT COOKE MD
NPI 1104836733
Pediatrics - Pediatric Hematology-Oncology in Baltimore, MD

Active since August 08, 2006PECOS Enrolled
CRB1 RM 207, 1650 ORLEANS STREET,, BALTIMORE, MD 21287(443) 287-2949(410) 502-7223 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2023, Apr 17, 2018 (2 updates tracked since 2018).

About Kenneth Robert Cooke Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH ROBERT COOKE MD (NPI 1104836733) is an individual pediatric hematology-oncology provider in Baltimore, Maryland, licensed in Maryland (D76204) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1104836733
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameKENNETH ROBERT COOKECredential: MD
Location AddressCRB1 RM 207, 1650 ORLEANS STREET,Baltimore, MD 21287-0001
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004
Phone(443) 287-2949
Fax(410) 502-7223
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1104836733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in MD · D76204✔ Licensed in MI · 4301074004✔ Licensed in OH · 35090984
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 4301074004 (MI)
CRB1 RM 207, Baltimore, MD 21287
Open in Google Maps ↗

Other Identifiers 8

Other000000233275OH · Unison
Medicaid4173898MI
Other5752459OH · Aetna
Other000000558054OH · Anthem
Medicaid2146663OH
Other440046OH · Wellcare
Other753959OH · Buckeye
Medicaid932856559AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Robert Cooke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375627490
PECOS Enrollment IDI20130722000192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Cooke's NPI number?

The NPI number for Kenneth Cooke is 1104836733. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Kenneth Cooke located?

Kenneth Cooke practices at Crb1 Rm 207 1650 Orleans Street,, Baltimore, MD 21287. The listed phone number is (443) 287-2949.

What is Kenneth Cooke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Kenneth Cooke enrolled in Medicare?

Yes. Kenneth Cooke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Cooke was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.