Individual provider Active NPI

Matthew David Cohen, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Charlotte, MI
National Provider Identifier
1508081787
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
5101016025 Issued in MI
Practice address
123 Lansing St
Suite 3B
Charlotte, MI 48813-1696
Phone
(517) 541-5954
Fax
(517) 541-5944
NPI assigned
Apr 14, 2007
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4747 OK
Pain Medicine (Anesthesiology) Physician 207LP2900X 4747 OK
Pain Medicine (Anesthesiology) Physician 207LP2900X 5101016025 MI Primary

Addresses

Primary practice location

123 Lansing St
Suite 3B
Charlotte, MI 48813-1696

Mailing address

123 Lansing St
Suite 3B
Charlotte, MI 48813-1696
Phone (517) 541-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20131025001225 MI Practitioner - Anesthesiology 3870649478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Eaton HospitalGroup PAC ID 0042103509, shared by 4 NPIs, 45 clinicians

Practice addresses (Care Compare)

111 Lansing St
Charlotte, MI 48813-2400

123 Lansing St
Charlotte, MI 48813-1696

321 E Harris St
Charlotte, MI 48813-1629

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4747OKMDMental Health Counselor
5101016025MIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Aug 31, 2013 Accepting new patients
Capital Area Anesthesia PC Pain Medicine CurrentSince Aug 18, 2015 Accepting new patients
Sparrow Eaton Hospital Pain Medicine CurrentSince Aug 31, 2013 Accepting new patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients
Sparrow Eaton Hospital Anesthesiology Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954

123 Lansing St
Ste 3B
Charlotte, MI 48813
Phone (517) 541-5954

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

Interoperability endpoints

  • Direct secure messaging: mcohen69182@sparrowdirecthie.org

Organizations & group practices 7

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 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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1508081787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LANSING ST",
            "address_2": "SUITE 3B",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131696",
            "telephone_number": "517-541-5954",
            "fax_number": "517-541-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LANSING ST",
            "address_2": "SUITE 3B",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131696",
            "telephone_number": "517-541-5954",
            "fax_number": "517-541-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4747",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "4747",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "5101016025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.