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Cooper A Blum

Physician Assistant β€’ Gilbert, AZ

Active NPI 1649155359 Individual Practitioner
Practice location in NPPES

2946 E Banner Gateway Dr
Gilbert, AZ 852342165

Call 4802566444 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2946 E Banner Gateway Dr

Gilbert, AZ 852342165

Telephone 4802566444
Organization at the Same NPPES Address or Phone
Banner Pharmacy Services Llc Facility NPI 1306231139

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Cooper Blum as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gilbert and Arizona

237 active clinicians are listed under Physician Assistant with a practice address in Gilbert, AZ (3,673 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gilbert

17.7% of these 237 clinicians have the CMS telehealth indicator.

70.5% of these 237 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES AZ 11704

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Patrick Allred , MS, PA-C

Physician Assistant - Medical

NPI 1023559184

Master of Science, Physician Assistant (Certified)

Dr. Ahmed Al-Niaimi , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1003958539

Doctor of Medicine (M.D.)

Jamie Anderson , PA-C

Physician Assistant - Surgical

NPI 1154896058

Physician Assistant (Certified)

Marisa Andrade , NP

Nurse Practitioner - Acute Care

NPI 1144743899

Nurse Practitioner

Alexandria Barnes , PA-C

Physician Assistant - Medical

NPI 1053782664

Physician Assistant (Certified)

Dr. Akshaar Brahmbhatt , MD

Radiology - Vascular & Interventional Radiology

NPI 1033564356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2026

Physician Assistant (license number reported to NPPES: AZ 11704)

πŸ“
Updated Practice Location April 09, 2026

Registered at 2946 E BANNER GATEWAY DR, GILBERT, AZ 852342165 (Tel: 4802566444)

πŸ“
Updated Business Mailing Address April 09, 2026

Registered at 2946 E BANNER GATEWAY DR, GILBERT, AZ 852342165 (Tel: 4802566444)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2026

Physician Assistant

βœ…
NPI Profile Active August 11, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 11, 2025

Registered at 1260 ELM ST, MANCHESTER, NH 031011305 (Tel: 6033141701)

πŸ“
Business Mailing Address (Initial Record) August 11, 2025

Registered at 1260 ELM ST, MANCHESTER, NH 031011305

πŸ‘€
Provider Name / Credentials (Initial Record) August 11, 2025

Recorded as COOPER BLUM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 11, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649155359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2025
Last Update: June 16, 2026
Sole Proprietor: Yes

Other Physician Assistants in Gilbert

All Physician Assistants in Gilbert

Mailing Address

2946 E Banner Gateway Dr

Gilbert, AZ 852342165

Phone: 4802566444

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.