Individual provider Active NPI

Richard D Cohen, DO

  • Family Medicine Physician
  • Bensalem, PA
National Provider Identifier
1194802629
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S003656L Issued in PA
Practice address
1336 Bristol Pike
Suite 103
Bensalem, PA 19020-5660
Phone
(215) 638-3444
Fax
(215) 638-3449
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 0S003656L PA Primary

Addresses

Primary practice location

1336 Bristol Pike
Suite 103
Bensalem, PA 19020-5660

Mailing address

1336 Bristol Pike
Suite 103
Bensalem, PA 19020-5660
Phone (215) 638-3444

Other identifiers 1

IdentifierTypeStateIssuer
1570750MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000674 PA Practitioner - Family Practice 5395897102 Reassigns benefits to 1 organization
Practice locations: Bensalem, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Physicians Group LLCGroup PAC ID 2769631621, 31 clinicians

Practice addresses (Care Compare)

1336 Bristol Pike
Suite 3
Bensalem, PA 19020-5660
Phone (215) 638-3444

Hospital & facility affiliations

  • Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
  • Holy Redeemer Hospice - PA Hospice, Philadelphia, PA, CCN 391514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S003656LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physicians Group LLC Family Medicine CurrentSince Sep 1, 2012 Accepting new patients

Locations

1336 Bristol Pike
Ste 103
Bensalem, PA 19020
Phone (215) 310-8087

1336 Bristol Pike
Ste 3
Bensalem, PA 19020
Phone (215) 638-3444

5363 Oxford Ave
Philadelphia, PA 19124
Phone (215) 288-0707

339 E Street Rd
Trevose, PA 19053
Phone (215) 464-4111

Interoperability endpoints

  • Direct secure messaging: richard.cohen@607767797039108.direct.elationemr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1194802629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE",
            "address_2": "SUITE 103",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205660",
            "telephone_number": "215-638-3444",
            "fax_number": "215-638-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE",
            "address_2": "SUITE 103",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205660",
            "telephone_number": "215-638-3444",
            "fax_number": "215-638-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S003656L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.