Individual provider Active NPI

Ross Samuel Cohen, D.P.M.

  • Podiatrist
  • Pasadena, MD
National Provider Identifier
1548268485
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01203 Issued in MD
Practice address
8023 Ritchie Hwy
Pasadena, MD 21122-7107
Phone
(410) 761-4190
Fax
(410) 761-0265
NPI assigned
Jul 13, 2005
Last updated
Jun 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01203 MD Primary

Addresses

Primary practice location

8023 Ritchie Hwy
Pasadena, MD 21122-7107

Mailing address

8023 Ritchie Hwy
Pasadena, MD 21122-7107
Phone (410) 761-4190

Other identifiers 11

IdentifierTypeStateIssuer
521873415OtherMDTRICARE
KT11OtherMDBLUE SHIELD NASCO
KT11 // 30736001OtherMDCAREFIRST BLUE SHIELD
10227273OtherMDAMERIGROUP
228938OtherMDMDIPA/OPTIMUM CHOICE
358668500MedicaidMD
T584 0001OtherMDBLUECHOICE
358908100MedicaidMD
480019706OtherMDFIRST HEALTH
5295711OtherMDAETNA
480019706OtherMDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000530 MD Practitioner - Podiatry 9335207505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

808 Landmark Dr
Suite 225
Glen Burnie, MD 21061-4985
Phone (410) 761-3501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.5 of 100Reported as individual
Quality
35
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue203
Removal of skin lesions1-10
Removal of nail tissue313
Removal or shaving of skin growth182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01203MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Center of Maryland, LLC Podiatrist CurrentSince Apr 1, 2012 Accepting new patients
Bayside Surgical Center, Inc. PastSince Mar 31, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

808 Landmark Dr
Ste 225
Glen Burnie, MD 21061
Phone (410) 761-3501

8023 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 761-3338

Organizations & group practices 4

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 1

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1548268485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227107",
            "telephone_number": "410-761-4190",
            "fax_number": "410-761-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227107",
            "telephone_number": "410-761-4190",
            "fax_number": "410-761-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ROSS",
        "middle_name": "SAMUEL",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "521873415",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NASCO",
            "identifier": "KT11",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHIELD",
            "identifier": "KT11 // 30736001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10227273",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPTIMUM CHOICE",
            "identifier": "228938",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358668500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "T584 0001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358908100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "480019706",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5295711",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480019706",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.