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COOPER A BLUM
NPI 1649155359
Physician Assistant in Gilbert, AZ

Active since August 11, 2025PECOS Enrolled
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234(480) 256-6444 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2026, Aug 11, 2025 (2 updates tracked since 2025).

About Cooper A Blum NPPES

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

COOPER A BLUM (NPI 1649155359) is an individual physician assistant in Gilbert, Arizona, licensed in Arizona (11704) and active in the NPI registry since August 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1649155359
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameCOOPER A BLUM
Location Address2946 E BANNER GATEWAY DRGilbert, AZ 85234-2165
Mailing Address2946 E Banner Gateway DrGilbert, AZ 85234-2165 · (480) 256-6444
Phone(480) 256-6444
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 11, 2025
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1649155359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 11704
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2946 E BANNER GATEWAY DR, Gilbert, AZ 85234
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cooper A Blum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012481799
PECOS Enrollment IDI20260702003432
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOYOUNG PARK MD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. AKSHAAR BRAHMBHATT MD
Radiology (Vascular & Interventional Radiology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
THERESA ONG LIU DUMLAO MD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR, SUITE 450
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. ZACHARY PHILLIP YEUNG MD
Internal Medicine (Medical Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 245-6444
MICHAEL J POGGE AGACNP-BC
Nurse Practitioner (Acute Care)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
RICHARD D SUE MD
Internal Medicine (Pulmonary Disease)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MRS. ALEXANDRIA NICOLE BARNES PA-C
Physician Assistant (Medical)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
ASHLEY JOHNSON KELLER PA-C
Physician Assistant
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444

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 Cooper Blum's NPI number?

The NPI number for Cooper Blum is 1649155359. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Cooper Blum located?

Cooper Blum practices at 2946 E Banner Gateway Dr, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Cooper Blum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cooper Blum enrolled in Medicare?

Yes. Cooper Blum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cooper Blum was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.