NPIMap

Individual provider Active NPI

Susie W Cohn, MD

  • Gastroenterology Physician
  • Oakland, CA
National Provider Identifier
1205161130
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A111820 Issued in CA
Practice address
300 Frank H Ogawa PLZ Ste 355
Oakland, CA 94612-2088
Phone
(510) 444-3297
Fax
(510) 444-6421
NPI assigned
Oct 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A111820 CA Primary

Addresses

Primary practice location

300 Frank H Ogawa PLZ Ste 355
Oakland, CA 94612-2088

Mailing address

300 Frank H Ogawa PLZ Ste 355
Oakland, CA 94612-2088
Phone (510) 444-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027000489 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9931320496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

300 Frank H Ogawa PLZ
Suite 450
Oakland, CA 94612-2047
Phone (510) 444-3297

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as individual
Quality
70.68
Improvement activities
40
Cost
71.57

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111820CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Center for Digestive Health Medical Associates, Inc Gastroenterology CurrentSince Oct 1, 2014 Accepting new patients
Alameda Health System CurrentSince Sep 1, 2014 Accepting new patients
Alameda Health System CurrentSince Sep 1, 2014 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2070 Clinton Ave
Fl 3
Alameda, CA 94501
Phone (510) 548-6555

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

300 Frank H Ogawa Plz
Ste 355
Oakland, CA 94612
Phone (510) 444-3297

300 Ogawa Plz
Ste 450
Oakland, CA 94612
Phone (510) 433-7821

3300 Webster St
Ste 312
Oakland, CA 94609
Phone (510) 444-3297

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15506/brand/4/csg/1/fhir/r4
  • Direct secure messaging: scohn15941@alamedahs.direct-ci.com
  • Direct secure messaging: susie.cohn.1@15506.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1205161130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRANK H OGAWA PLZ STE 355",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122088",
            "telephone_number": "510-444-3297",
            "fax_number": "510-444-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANK H OGAWA PLZ STE 355",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122088",
            "telephone_number": "510-444-3297",
            "fax_number": "510-444-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "SUSIE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A111820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.