Individual provider Active NPI

Benjamin Cohen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Aiken, SC
National Provider Identifier
1497947733
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
699 Issued in SC
Practice address
1000 Clyburn PL
Aiken, SC 29801-4193
Phone
(803) 380-7000
Fax
(803) 502-4248
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3310 FL
Foot & Ankle Surgery Podiatrist 213ES0103X DPM.200020 LA
Foot & Ankle Surgery Podiatrist 213ES0103X 699 SC Primary

Addresses

Primary practice location

1000 Clyburn PL
Aiken, SC 29801-4193

Mailing address

1000 Clyburn PL
Aiken, SC 29801-4193
Phone (803) 380-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110721000706 FL Practitioner - Podiatry 7810065364 Reassigns benefits to 1 organization
I20141104001941 PA Practitioner - Podiatry 7810065364 Reassigns benefits to 1 organization
I20200421001941 SC Practitioner - Podiatry 7810065364 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Rural Health Services, Inc.Group PAC ID 8527046010, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

1000 Clyburn PL
Aiken, SC 29801-4193

120 Darlington Dr
Aiken, SC 29803-8542
Phone (803) 380-7000

4645 Augusta Rd
Beech Island, SC 29842-7265
Phone (803) 380-7000

995 Clyburn PL
Aiken, SC 29801-4639
Phone (803) 380-7000

Hospital & facility affiliations

  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM.200020LAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Back Office Management Services LLC CurrentSince Sep 1, 2014 Accepting new patients
Rural Health Services, Inc CurrentSince Mar 3, 2020 Accepting new patients
East Coast Podiatric Medicine and Surgery LLC CurrentSince Mar 27, 2018 Accepting new patients
Rural Health Services, Inc. CurrentSince Apr 8, 2024 Accepting new patients

Locations

8132 Hudson Ave
Port Richey, FL 34667
Phone (727) 863-3100

9393 Park Blvd
Seminole, FL 33777
Phone (727) 319-2611

995 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

1000 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

1021 York St NE
Aiken, SC 29801
Phone (803) 360-7000

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

Interoperability endpoints

  • Direct secure messaging: benjamin.cohen.1@13265.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1497947733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193",
            "telephone_number": "803-380-7000",
            "fax_number": "803-502-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193",
            "telephone_number": "803-380-7000",
            "fax_number": "803-502-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3310",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "DPM.200020",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.