NPIMap

Individual provider Active NPI

Charles FM Cohan, DO FACP

  • Gastroenterology Physician
  • Bartonsville, PA
National Provider Identifier
1043289903
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS009950L Issued in PA
Practice address
3565 Route 611 Ste 300
Bartonsville, PA 18321-7800
Phone
(484) 526-6545
NPI assigned
Mar 14, 2006
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS009950L PA Primary

Addresses

Primary practice location

3565 Route 611 Ste 300
Bartonsville, PA 18321-7800

Mailing address

701 Ostrum St
Fountain Hill, PA 18015-1155
Phone (866) 785-8537

Other identifiers 1

IdentifierTypeStateIssuer
0017380470001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000343 PA Practitioner - Gastroenterology 4880598283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Midwestern University, Chicago College of Osteopathic Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

3565 Route 611
Suite 300
Bartonsville, PA 18321-7832
Phone (272) 212-3090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy191
Upper gastrointestinal (GI) endoscopy for acid reflux267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS009950LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jan 1, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Pocono Ambulatory Surgery Center LTD Past Accepting new patients

Locations

3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105

701 Ostrum St
Fountain Hill, PA 18015
Phone (215) 707-5067

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

Organizations & group practices 5

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

Hospital & facility affiliations 9

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1043289903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151155",
            "telephone_number": "866-785-8537",
            "fax_number": "866-785-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 ROUTE 611 STE 300",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217800",
            "telephone_number": "484-526-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHAN",
        "first_name": "CHARLES",
        "middle_name": "FM",
        "credential": "DO FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS009950L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017380470001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartonsville, PA

Sources for this page

Verify at the official NPI Registry.