DEREK ROBERT COONEY MD NPI 1811959612

NPI Information

  • NPI: 1811959612
  • Provider Name: DEREK ROBERT COONEY, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 750 E ADAMS ST
    UPSTATE EMERGENCY MEDICINE
    SYRACUSE, NY
    ZIP 13210
  • Phone: (315) 464-4363

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NPI Details

Derek Robert Cooney, MD is an emergency medicine in Syracuse, NY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Derek Robert Cooney, MD NPI is 1811959612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 E ADAMS ST
UPSTATE EMERGENCY MEDICINE
SYRACUSE, NY
ZIP 13210-306
Phone: (315) 464-4363
Fax: (315) 464-8690

The NPI 1811959612 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Emergency department visit for problem of high severity (HCPCS:99284)

The enumeration date for this NPI number is 4/5/2006 and was last updated on 1/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineM0691TEXASNo
2207P00000XEmergency Medicine243861NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RB4693MEDICARE PINNEW YORK
21721391-02OTHERTEXASCSHCN
38P9119OTHERTEXASBLUE SHIELD
4I27799MEDICARE UPINTEXAS
51721391-01MEDICAIDTEXAS
602881712MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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