Individual provider Active NPI

Ali Rae Cohen, MD

  • Ophthalmology Physician
  • Buckeye, AZ
National Provider Identifier
1063917730
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
66333 Issued in AZ
Practice address
23390 W Yuma Rd Ste 102
Buckeye, AZ 85326-3106
Phone
(480) 994-5012
NPI assigned
Mar 26, 2018
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 66333 AZ Primary

Addresses

Primary practice location

23390 W Yuma Rd Ste 102
Buckeye, AZ 85326-3106

Mailing address

7245 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6443
Phone (480) 822-6230

Other practice location 1

13555 W McDowell Rd Ste 102
Goodyear, AZ 85395-2625
Phone (623) 200-0020

Other practice location 2

5620 W Thunderbird Rd Ste 1
Glendale, AZ 85306-4636
Phone (602) 247-7002

Other identifiers 1

IdentifierTypeStateIssuer
325608MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ybravo@arizonaeyes.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220624000630 AZ Practitioner - Ophthalmology 4082944475 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66333AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Ophthalmologists LTD Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients

Locations

5620 W Thunderbird Rd
Ste H3
Glendale, AZ 85306
Phone (602) 424-0866

13555 W McDowell Rd
Ste 102
Goodyear, AZ 85395
Phone (623) 200-0020

300 E Osborn Rd
Ste 100
Phoenix, AZ 85012
Phone (602) 200-0770

7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1063917730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "480-822-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23390 W YUMA RD STE 102",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263106",
            "telephone_number": "480-994-5012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 W McDowell Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952625",
            "country_code": "US",
            "telephone_number": "623-200-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5620 W Thunderbird Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064636",
            "country_code": "US",
            "telephone_number": "602-247-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ALI",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "66333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325608",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ybravo@arizonaeyes.com",
            "affiliation": "N",
            "endpointDescription": "MAILING ADDRESS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7245 E Osborn Rd Ste 4",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852516443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.