Individual provider Active NPI

Irwin D Cohen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Half Moon Bay, CA
National Provider Identifier
1164515623
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1610 Issued in CA
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

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue28
Removal of nail tissue268
Removal or shaving of skin growth73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1610CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.