Active NPI
Micah Gideon Cohen, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD454260
- Practice address
- 5501 Old York Rd
Albert Einstein Medical Center, Radiology Department
Philadelphia, PA 19141-3018 - Phone
- (610) 733-5892
- NPI assigned
- Jun 18, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD454260 | PA | Primary |
Addresses
Primary practice location
5501 Old York Rd
Albert Einstein Medical Center, Radiology Department
Philadelphia, PA 19141-3018
Mailing address
5501 Old York Rd
Albert Einstein Medical Center, Radiology Department
Philadelphia, PA 19141-3018
Phone (610) 733-5892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Diagnostic Radiology
- Education
- Temple University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Lancaster Ave
Wynewood, PA 19096-3450
Phone (484) 476-2263
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 565-8068
Hospital & facility affiliations
- Paoli Hospital
- Main Line Hospital Lankenau
- Bryn Mawr Hospital
- Riddle Memorial Hospital
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Radiology Associates of the Main Line P C | Diagnostic Radiology | Current | Accepting new patients |
| Main Line Health Imaging LP | Diagnostic Radiology | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Diagnostic Radiology | Current | Accepting new patients |
| Main Line Health Imaging LP | Past | Accepting new patients | |
| Einstein Practice Plan, Inc. | Past | Accepting new patients |
Locations
101 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 526-2200
120 Valley Green Ln
Kng of Prussa, PA 19406
Phone (610) 526-3000
1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400
255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286
255 W Lancaster Ave
Ste 131
Paoli, PA 19301
Phone (610) 560-8060
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
9880 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 456-6200
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
Interoperability endpoints
- micah.cohen@direct.einstein.edu
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Wynnewood, PA
- NPI 1477504264
-
- Diagnostic Radiology Physician
- Paoli, PA
- NPI 1750332003
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1396703955
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Nurse Practitioner
- Philadelphia, PA
- NPI 1083082523
-
- Body Imaging Physician
- Wynnewood, PA
- NPI 1598951592
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1184851990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"address_2": "ALBERT EINSTEIN MEDICAL CENTER, RADIOLOGY DEPARTMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "610-733-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"address_2": "ALBERT EINSTEIN MEDICAL CENTER, RADIOLOGY DEPARTMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "610-733-5892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MICAH",
"middle_name": "GIDEON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-18",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD454260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.