Individual provider Active NPI

Mindi E Cohen, DO

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1104811553
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0046438 Issued in MD
Practice address
15825 Shady Grove Rd
Suite 140
Rockville, MD 20850-4008
Phone
(301) 869-9776
Fax
(301) 216-2592
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0046438 MD Primary

Addresses

Primary practice location

15825 Shady Grove Rd
Suite 140
Rockville, MD 20850-4008

Mailing address

15825 Shady Grove Rd
Suite 140
Rockville, MD 20850-4008
Phone (301) 869-9776

Other identifiers 1

IdentifierTypeStateIssuer
405789900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040722000241 DC Practitioner - Family Practice 6800876756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

20410 Observation Dr
Suite 210
Germantown, MD 20876-6422
Phone (301) 869-9776

5413 W Cedar LN
Suite 203C
Bethesda, MD 20814-1527
Phone (301) 869-9776

5530 Wisconsin Ave
Suite 850
Chevy Chase, MD 20815-4446
Phone (301) 869-9776

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0046438MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehenisve Primary Care, LLC Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

Interoperability endpoints

  • Direct secure messaging: mindi.cohen@cpcl.eclinicaldirectplus.com

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1104811553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 SHADY GROVE RD",
            "address_2": "SUITE 140",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504008",
            "telephone_number": "301-869-9776",
            "fax_number": "301-216-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 SHADY GROVE RD",
            "address_2": "SUITE 140",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504008",
            "telephone_number": "301-869-9776",
            "fax_number": "301-216-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MINDI",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0046438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405789900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.