Individual provider Active NPI

Robert Kenneth Cohen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Paoli, PA
National Provider Identifier
1023095494
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004348-L Issued in PA
Practice address
250 W Lancaster Ave Ste 225
Paoli, PA 19301-1762
Phone
(610) 647-0400
Fax
(610) 578-9590
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004348-L PA Primary

Addresses

Primary practice location

250 W Lancaster Ave Ste 225
Paoli, PA 19301-1762

Mailing address

250 W Lancaster Ave Ste 225
Paoli, PA 19301-1762
Phone (610) 647-0400

Other practice location 1

255 S 17th St
Suite 2404
Philadelphia, PA 19103-6231
Phone (215) 545-0388

Other identifiers 1

IdentifierTypeStateIssuer
01797431MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000257 PA Practitioner - Podiatry 4183694292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 W Lancaster Ave
Suite 225
Paoli, PA 19301-1762
Phone (610) 647-0400

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue298
Removal of skin lesions112
Removal of nail tissue1439
Removal or shaving of skin growth753
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004348-LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert K Cohen DPM PC Foot & Ankle Surgery CurrentSince Oct 29, 2001 Accepting new patients
Montgomery Podiatry Associates Past Accepting new patients
Health One Podiatry P.a. Foot & Ankle Surgery Past Accepting new patients
Lifecare Podiatry, P.C. PastSince Jan 1, 2001 Accepting new patients

Locations

250 W Lancaster Ave
Ste 225
Paoli, PA 19301
Phone (610) 647-0400

255 S 17th St
Ste 2404
Philadelphia, PA 19103
Phone (215) 545-0388

1900 Rittenhouse Sq
Ste C3
Philadelphia, PA 19103
Phone (215) 545-0388

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12226/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1023095494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 225",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011762",
            "telephone_number": "610-647-0400",
            "fax_number": "610-578-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 225",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011762",
            "telephone_number": "610-647-0400",
            "fax_number": "610-578-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S 17th St",
            "address_2": "SUITE 2404",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036231",
            "country_code": "US",
            "telephone_number": "215-545-0388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ROBERT",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004348-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01797431",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.