Active NPI
Irwin D Cohen, DPM
- Foot & Ankle Surgery Podiatrist
- Half Moon Bay, CA
National Provider Identifier
1164515623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E1610
- Practice address
- 585 Kelly St
Half Moon Bay, CA 94019 - Phone
- (650) 726-3338
- Fax
- (650) 560-9492
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | E1610 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E1610 | CA | Primary |
Addresses
Primary practice location
585 Kelly St
Half Moon Bay, CA 94019
Mailing address
585 Kelly St
Half Moon Bay, CA 94019-1719
Phone (650) 726-3338
Other practice location 1
3200 Middlefield Rd
Suite B
Palo Alto, CA 94306-3000
Phone (650) 494-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019000987 | CA | Practitioner - Podiatry | 6800916271 | Practice locations: Half Moon Bay, CA; Mountain View, CA |
| O20100930074571 | CA | DME Supplier - Physician - Podiatry | 7618097080 | Practice locations: Half Moon Bay, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
585 Kelly St
Half Moon Bay, CA 94019-1719
Phone (650) 726-3338
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 28 |
| Removal of nail tissue | 268 |
| Removal or shaving of skin growth | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1610 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Medical Center Coatside | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Foot & Ankle Surgery | Past | Accepting new patients |
| Mills-Peninsula Health Services | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| Michael a. Huie, MD, PHD Prof Medical Corp | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Sequoia Health Services | Past | Accepting new patients |
Interoperability endpoints
- icohen23216@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- Dermatology Physician
- Half Moon Bay, CA
- NPI 1740322890
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1518937051
-
- General Acute Care Hospital
- Redwood City, CA
- NPI 1235172057
-
- Institutional Pharmacy
- Moss Beach, CA
- NPI 1740374008
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1164515623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 KELLY ST",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940191719",
"telephone_number": "650-726-3338",
"fax_number": "650-560-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 KELLY ST",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "94019",
"telephone_number": "650-726-3338",
"fax_number": "650-560-9492"
}
],
"practiceLocations": [
{
"address_1": "3200 Middlefield Rd",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943063000",
"country_code": "US",
"telephone_number": "650-494-1101",
"fax_number": "650-494-1582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "IRWIN",
"middle_name": "D",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "CA",
"license": "E1610",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E1610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.