Individual provider Active NPI

Michael L. Cohen, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Walnut Creek, CA
National Provider Identifier
1205885779
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
G28277 Issued in CA
Practice address
130 La Casa Via
BLDG #2, Suite 208
Walnut Creek, CA 94598-3045
Phone
(925) 944-0166
Fax
(925) 944-6355
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G282770 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X G28277 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G28277 CA Primary

Addresses

Primary practice location

130 La Casa Via
BLDG #2, Suite 208
Walnut Creek, CA 94598-3045

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Other practice location 1

130 La Casa Via
Bldg #2, Suite 208
Walnut Creek, CA 94598-3045
Phone (925) 944-0166

Other identifiers 3

IdentifierTypeStateIssuer
00G282770MedicaidCA
290004008OtherCAMEDICARE RAILROAD BOARD
A43677OtherCAMEDICARE UPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G28277CAMDCritical Care Medicine (Internal Medicine) Physician
G282770CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Past Accepting new patients
Muir Sleep Center Past Accepting new patients
Contra Costa Sleep Center LLC PastSince Aug 25, 1999 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1205885779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA",
            "address_2": "BLDG #2, SUITE 208",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-944-0166",
            "fax_number": "925-944-6355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 La Casa Via",
            "address_2": "Bldg #2, Suite 208",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983045",
            "country_code": "US",
            "telephone_number": "925-944-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G282770",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G28277",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G28277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G282770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD BOARD",
            "identifier": "290004008",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "A43677",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.