Individual provider Active NPI

Mitchell Cahan, M.D.

  • Surgery Physician
  • Worcester, MA
National Provider Identifier
1306827043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
225589 Issued in MA
Practice address
55 Lake Ave N
Department of General Surgery
Worcester, MA 01655-0002
Phone
(508) 334-7656
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 225589 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Department of General Surgery
Worcester, MA 01655-0002

Mailing address

64 Greenwood Pkwy
Holden, MA 01520-1616
Phone (508) 334-4359

Other identifiers 1

IdentifierTypeStateIssuer
2110156MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231113002858 MD Practitioner - General Surgery 7416940622 Reassigns benefits to 1 organization
I20231113003135 DC Practitioner - General Surgery 7416940622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Johns Hopkins University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, shared by 10 NPIs, 540 clinicians

Practice addresses (Care Compare)

2000 Medical Pkwy
Suite 600
Annapolis, MD 21401-3748
Phone (443) 481-6699

900 23Rd St NW
Anne Arundel Medical Group Cardiology Speci
Washington, DC 20037-2342
Phone (410) 897-0822

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Surgery Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 1, 2023 Accepting new patients
Milford Regional Physician Group, Inc. Surgery Past Accepting new patients
Milford Regional Physician Group, Inc. Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2000 Medical Pkwy
Ste 600
Annapolis, MD 21401
Phone (443) 481-6699

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

8116 Good Luck Rd
Ste 210
Lanham, MD 20706
Phone (240) 965-4405

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

Interoperability endpoints

  • Direct secure messaging: mcahan164246@direct.aahs.org

Organizations & group practices 6

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 3

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306827043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 GREENWOOD PKWY",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201616",
            "telephone_number": "508-334-4359",
            "fax_number": "508-756-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "DEPARTMENT OF GENERAL SURGERY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHAN",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "225589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110156",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.