Active NPI
Irwin Randell Cohen
- Addiction Medicine (Internal Medicine) Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 29908
- Practice address
- 4006 Dutchmans LN
Suite 100
Louisville, KY 40207-4704 - Phone
- (502) 873-7517
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Hazard, KY
- NPI 1417696543
Addiction Medicine, KY
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Lexington, KY
- NPI 1235878364
Addiction Medicine
-
- Methadone Clinic
- Berea, KY
- NPI 1558895631
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1619061116
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1528008166
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Vincennes, IN
- NPI 1205944717
Diagnostic Radiology
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- University of Louisville School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
118 Grand Vue PLZ
Suite 118
Hazard, KY 41701-6842
Phone (606) 487-1646
2705 Olivet Church Rd
Suite 600
Paducah, KY 42001-9755
Phone (270) 443-0096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210819003764 | KY | Practitioner - Addiction Medicine | 8325233125 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29908 | KY | MD | Diagnostic Radiology Physician |
| 2011000734 | MO | MD | Diagnostic Radiology Physician |
| 19345 | KY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHG Xxxiii, LLC | Current | Accepting new patients | |
| BHG Xxxiv, LLC | Current | Accepting new patients | |
| BHG Xxvi, LLC | Current | Accepting new patients | |
| BHG XXXV, LLC | Current | Accepting new patients | |
| BHG Lviii, LLC | Addiction Medicine | Current | Accepting new patients |
| BHG XXV, LLC | Current | Accepting new patients | |
| BHG Xxiv, LLC | Current | Accepting new patients | |
| BHG Lviii, LLC | Addiction Medicine | Current | Accepting new patients |
| BHG XXXV, LLC | Current | Accepting new patients | |
| University Physicians Group - Radiology | Diagnostic Radiology | Past | Accepting new patients |
| University Radiological Associates, PSC | Diagnostic Radiology | Past | Accepting new patients |
| Vincennes Radiology, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
1000 Ace Dr
Rm 100
Berea, KY 40403
Phone (859) 756-5006
785 Cumberland Gap Pkwy
Ste 3
Corbin, KY 40701
Phone (606) 526-9348
785 W Cumberland Gap Pkwy
Ste 3
Corbin, KY 40701
Phone (606) 526-8941
48 Independence Dr
Hazard, KY 41701
Phone (606) 487-1646
118 Grand Vue Plz
Ste 118
Hazard, KY 41701
Phone (606) 487-1646
455 Park Pl
Ste 130
Lexington, KY 40511
Phone (859) 276-0533
2705 Olivet Church Rd
Ste 600
Paducah, KY 42001
Phone (270) 443-0096
2705 Olivet Church Rd
Paducah, KY 42001
Phone (270) 443-0096
628 Jefferson Ave
Paintsville, KY 41240
Phone (214) 365-6132
255 Church St
Ste 204
Pikeville, KY 41501
Phone (606) 432-4104
5001 Spring Valley Rd
Ste 600
Dallas, TX 75244
5001 Spring Vly
Ste 600E
Dallas, TX 75244
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 29908 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 2011000734 | MO | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 29908 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4006 Dutchmans LN
Suite 100
Louisville, KY 40207-4704
Mailing address
4307 Glenarm Rd
Crestwood, KY 40014-9586
Phone (502) 241-2892
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64299084 | Medicaid | KY | |
| 200165860 | Medicaid | IN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2013.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1376547711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4307 GLENARM RD",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400149586",
"telephone_number": "502-241-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4006 DUTCHMANS LN",
"address_2": "SUITE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074704",
"telephone_number": "502-873-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "IRWIN",
"middle_name": "RANDELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "29908",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2011000734",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "KY",
"license": "29908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64299084",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200165860",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.