KORTNEE Y ROBERSON COOPER MD
NPI 1972731172
Family Medicine in Chicago, IL

Q: What is Kortnee Roberson Cooper's NPI number?

The NPI number for Kortnee Roberson Cooper is 1972731172. It was assigned to this individual provider in the NPPES registry on June 25, 2009. The provider is also known as Kortnee Y Roberson MD.

Q: What is Kortnee Roberson Cooper's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 25, 2009PECOS Enrolled

4009 N BROADWAY ST, CHICAGO, IL 60613(773) 275-2586 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2024, Jul 12, 2023 (2 updates tracked since 2023).

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About Kortnee Y Roberson Cooper Md NPPES

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

KORTNEE Y ROBERSON COOPER MD (NPI 1972731172) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036130304) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1972731172

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKORTNEE Y ROBERSON COOPERCredential: MD

Location Address4009 N BROADWAY STChicago, IL 60613-2110

Mailing Address6835 S Chappel Ave Ste 4Chicago, IL 60649-1606 · (312) 631-5100

Phone(773) 275-2586

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 25, 2009

Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1972731172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036130304

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4009 N BROADWAY ST, Chicago, IL 60613

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Other Names 1

Former Name (1)Kortnee Y Roberson Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kortnee Y Roberson Cooper Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103074398

PECOS Enrollment IDI20120912000851

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.

Medicare Billing Reassignment

Medicare enrollment records show Kortnee Roberson Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lawndale Christian Health Center

6.8 mi

Federally Qualified Health Center (FQHC)

3517 W ARTHINGTON ST
Chicago, IL 60624

Reassigned Medicare billing, Illinois enrollment
147 clinicians in this Medicare group

NPI 1326215450 (872) 588-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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.

AISHA AYO WESLEY PA-C

Physician Assistant (Medical)