Individual provider Active NPI

Sandra Rochelle Cohan, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1467766576
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N4991 Issued in TX
Practice address
740 Gulfgate Center Mall
Houston, TX 77087-3026
Phone
(713) 514-8060
NPI assigned
Jul 30, 2010
Last updated
Mar 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N4991 TX Primary

Addresses

Primary practice location

740 Gulfgate Center Mall
Houston, TX 77087-3026

Mailing address

PO Box 841969
Dallas, TX 75284-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101214000432 TX Practitioner - Pediatric Medicine 3577750710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Morehouse School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6441 High Star Dr
Houston, TX 77074-5005
Phone (832) 548-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4991TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Sep 23, 2022 Accepting new patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Sep 23, 2022 Accepting new patients

Locations

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

3021 Texas Pkwy
Missouri City, TX 77489

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1467766576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841969",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 GULFGATE CENTER MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873026",
            "telephone_number": "713-514-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHAN",
        "first_name": "SANDRA",
        "middle_name": "ROCHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N4991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.