NPIMap

Individual provider Active NPI

Michael Bruce Cohen, M.D.

  • Nephrology Physician
  • Reading, MA
National Provider Identifier
1306895172
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
70992 Issued in MA
Practice address
30 New Crossing Rd Ste 310
Reading, MA 01867-3271
Phone
(781) 944-1228
Fax
(781) 944-1168
NPI assigned
May 9, 2006
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 70992 MA Primary

Addresses

Primary practice location

30 New Crossing Rd Ste 310
Reading, MA 01867-3271

Mailing address

1 Thorndike St
Somerville, MA 02144-2717
Phone (617) 591-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050228000736 MA Practitioner - NephrologyPractitioner - Internal Medicine 4284687450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Massachusetts Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woburn Nephrology Associates PCGroup PAC ID 8820032485, 6 clinicians

Practice addresses (Care Compare)

92 Montvale Ave
Suite 2000
Stoneham, MA 02180-3654
Phone (781) 933-0710

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Best Chiropractic LLC CurrentSince Apr 1, 2022 Accepting new patients
Woburn Nephrology Associates PC Nephrology CurrentSince Jan 1, 2022 Accepting new patients
David Siegenberg,MD,PC PastSince Jun 1, 2007 Accepting new patients
Pratt Psychiatric Associates, Inc Past Accepting new patients
New England Medical Center Past Accepting new patients
Pratt Pathology Associates, Inc Past Accepting new patients

Locations

92 Montvale Ave
Ste 2000
Stoneham, MA 02180
Phone (781) 435-2284

Interoperability endpoints

  • Direct secure messaging: mcohen28577@tuftsmedicine.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1306895172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THORNDIKE ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442717",
            "telephone_number": "617-591-9494",
            "fax_number": "617-591-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING RD STE 310",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673271",
            "telephone_number": "781-944-1228",
            "fax_number": "781-944-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "70992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.