Individual provider Active NPI

Craig Cohen, MD

  • Pediatric Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1073564373
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
20483 Issued in AZ
Practice address
1920 E Cambridge Ave
#301
Phoenix, AZ 85006-1459
Phone
(602) 253-6000
Fax
(602) 256-2878
NPI assigned
May 12, 2006
Last updated
Feb 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 20483 AZ Primary

Addresses

Primary practice location

1920 E Cambridge Ave
#301
Phoenix, AZ 85006-1459

Mailing address

1920 E Cambridge Ave
#301
Phoenix, AZ 85006-1459
Phone (602) 253-6000

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
I20050209001080 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 1355392093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Tulane University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Children's HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Dec 18, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Phoenix Children's Medical Group CurrentSince Mar 1, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Dec 18, 2010 Accepting new patients
Phoenix Children's Hospital Current Accepting new patients
Obstetrix Medical Group of Phoenix PC Pediatric Cardiology Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1551 E Tangerine Rd
Ste 141
Oro Valley, AZ 85755
Phone (520) 320-7999

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

726 Gail Gardner Way
Ste A
Prescott, AZ 86305
Phone (928) 442-8660

10250 N 92nd St
Ste 212
Scottsdale, AZ 85258
Phone (480) 551-5154

Organizations & group practices 7

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 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1073564373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE",
            "address_2": "#301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061459",
            "telephone_number": "602-253-6000",
            "fax_number": "602-256-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE",
            "address_2": "#301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061459",
            "telephone_number": "602-253-6000",
            "fax_number": "602-256-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "20483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.