Individual provider Active NPI

Irwin Randell Cohen

  • Addiction Medicine (Internal Medicine) Physician
  • Louisville, KY
National Provider Identifier
1376547711
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
29908 Issued in KY
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
29908KYMDDiagnostic Radiology Physician
2011000734MOMDDiagnostic Radiology Physician
19345KYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Xxxiii, LLC CurrentSince May 14, 2021 Accepting new patients
BHG Xxxiv, LLC CurrentSince May 14, 2021 Accepting new patients
BHG Xxvi, LLC CurrentSince Jul 23, 2020 Accepting new patients
BHG XXXV, LLC CurrentSince May 14, 2021 Accepting new patients
BHG Lviii, LLC Addiction Medicine Current Accepting new patients
BHG XXV, LLC CurrentSince May 14, 2021 Accepting new patients
BHG Xxiv, LLC CurrentSince May 14, 2021 Accepting new patients
BHG Lviii, LLC Addiction Medicine CurrentSince Oct 9, 2025 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)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29908 KY
Diagnostic Radiology Physician 2085R0202X 2011000734 MO
Addiction Medicine (Internal Medicine) Physician 207RA0401X 29908 KY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
64299084MedicaidKY
200165860MedicaidIN

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

Verify at the official NPI Registry.