Active NPI
Melissa Jill Cohen, M.D.
- Medical Oncology Physician
- Simi Valley, CA
National Provider Identifier
1174763262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- A104517
- Practice address
- 2750 Sycamore Dr
201
Simi Valley, CA 93065-1502 - Phone
- (805) 583-0110
- NPI assigned
- Mar 2, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | A104517 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A104517 | CA |
Addresses
Primary practice location
2750 Sycamore Dr
201
Simi Valley, CA 93065-1502
Mailing address
10945 Leconte Ave
Department of Hematology/Onconlogy
Los Angeles, CA 90095-0001
Phone (310) 206-1214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- George Washington University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 733-3636
Hospital & facility affiliations
- St Johns Medical Center
- Sublette County Health
- CCN 531320
- Star Valley Medical Center
- Teton Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.82 of 100
- Quality
- 67.1
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104517 | CA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton County Hospital District | Current | Accepting new patients |
Interoperability endpoints
- mcohen60078@direct.uclahealth.org
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 and National Provider Directory roles.
-
- General Practice Physician
- Jackson, WY
- NPI 1487818605
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
-
- Critical Access Hospital
- Pinedale, WY
- NPI 1598577611
-
- General Acute Care Hospital
- Jackson, WY
- NPI 1801835475
-
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1174763262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10945 LECONTE AVE",
"address_2": "DEPARTMENT OF HEMATOLOGY/ONCONLOGY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-206-1214",
"fax_number": "805-496-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 SYCAMORE DR",
"address_2": "201",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651502",
"telephone_number": "805-583-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MELISSA",
"middle_name": "JILL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CA",
"license": "A104517",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A104517",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.