COOK CHILDREN'S MEDICAL CENTER
NPI 1164105458
Psychologist - Intellectual and Developmental Disabilities in Fort Worth, TX
About Cook Children's Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COOK CHILDREN'S MEDICAL CENTER (NPI 1164105458), doing business as Cook Children's Developmental Psychology, is a healthcare organization registered as an intellectual and developmental disabilities in Fort Worth, Texas and active in the NPI registry since August 2023. The organization lists Cory R Rhoades, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cook Children's Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Cook Children's Medical Center, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 30Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 6
Medicare supplier enrollment and the product categories Cook Children's Retail Pharmacy - D carries, from the Medicare DMEPOS supplier directory.
Cook Children's Retail Pharmacy - D
DMEPOS supplier · Fort Worth, TXOperated by Cook Children's Medical CenterAccepts Medicare assignment
Cook Children's Retail Pharmacy - D agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product 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 Cook Children's Medical Center's NPI number?
The NPI number for Cook Children's Medical Center is 1164105458. It was assigned to this organization in the NPPES registry on August 11, 2023. The provider is doing business as Cook Children's Developmental Psychology.
Where is Cook Children's Medical Center located?
Cook Children's Medical Center is located at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 303-9200.
What is Cook Children's Medical Center's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.
Is Cook Children's Medical Center enrolled in Medicare?
Yes. Cook Children's Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cook Children's Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 2 Medicare specialties reassign their Medicare billing to Cook Children's Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (29) and Pediatric Medicine (1). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cook Children's Medical Center accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Cook Children's Retail Pharmacy - D accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Cook Children's Medical Center accept?
Health plans from Imperial Insurance Companies, Inc. list Cook Children's Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cook Children's Medical Center was last updated on August 11, 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.
# Cook Children's Medical Center · NPI 1164105458
Intellectual and Developmental Disabilities organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since August 11, 2023.
## Identity
- **NPI:** 1164105458 (Entity type: Organization)
- **Enumerated:** August 11, 2023
- **Primary specialty:** Psychologist - Intellectual and Developmental Disabilities · taxonomy 103TM1800X
- **Also known as:** COOK CHILDREN'S DEVELOPMENTAL PSYCHOLOGY (Doing Business As)
- **Organization subpart:** Yes (part of Cook Children's Medical Center)
- **Authorized official:** Cory Rhoades, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1500 COOPER ST, Fort Worth, TX 76104-2710
- **Phone:** (682) 303-9200 · **Fax:** (682) 303-9239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (29), Pediatric Medicine (1); 15 practice within 10 miles; [full list](https://npiprofile.com/npi/1164105458/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164105458) · Data from the CMS NPPES public registry.