Individual provider Active NPI

Philip Moses Cohen, PA-C

  • Surgical Physician Assistant
  • Germantown, MD
National Provider Identifier
1306884671
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C01921 Issued in MD
Practice address
20410 Observation Dr Ste 103
Germantown, MD 20876-6419
Phone
(202) 835-2222
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110840565 VA
Surgical Physician Assistant 363AS0400X C01921 MD Primary
Physician Assistant 363A00000X C01921 MD

Addresses

Primary practice location

20410 Observation Dr Ste 103
Germantown, MD 20876-6419

Mailing address

1015 18TH St NW
Washington, DC 20036-5203
Phone (301) 896-9792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000110 DC Practitioner - Physician Assistant 1557533908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C01921MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Apr 17, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Apr 17, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physician Assistant PastSince Jun 6, 2021 Accepting new patients
Ymb Surgery P.L.L.C. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

19465 Deerfield Ave
Ste 405
Leesburg, VA 20176
Phone (703) 858-1800

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1306884671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 18TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365203",
            "telephone_number": "301-896-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR STE 103",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766419",
            "telephone_number": "202-835-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "PHILIP",
        "middle_name": "MOSES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110840565",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C01921",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C01921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.