Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randy I Cooper, MD

Individual provider Nephrology Physician · NPI 1154316495

Randy I Cooper, MD is a Nephrology in Peoria, Arizona. Graduated from Ohio State University College of Medicine in 1994, 32 years ago. Practices with Southwest Kidney Institute Vascular Center LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
32
Trained at
Ohio State University College of Medicine
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7362 W Thunderbird Rd Ste 103
Peoria, AZ 85381-5028
Phone: (480) 610-6152
Fax: (480) 610-6189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 E University Dr Ste 102, Tempe, AZ 85281-8401 — (480) 610-6152

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 30432 (AZ)

Record details

NPI number1154316495
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2005
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Southwest Kidney Institute Vascular Center Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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