Active NPI
Ted Cohen, DPM
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
National Provider Identifier
1619014743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM9301
- Practice address
- 501 S Rancho Dr
I-61
Las Vegas, NV 89106-4828 - Phone
- (702) 387-8777
- Fax
- (702) 387-8722
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM9301 | NV | Primary |
Addresses
Primary practice location
501 S Rancho Dr
I-61
Las Vegas, NV 89106-4828
Mailing address
501 S Rancho Dr
I-61
Las Vegas, NV 89106-4828
Phone (702) 387-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140131000332 | NV | Practitioner - Podiatry | 6709839152 | Practice locations: Las Vegas, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2235 N Rampart Blvd
Las Vegas, NV 89128-7640
Phone (702) 387-8777
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 71 |
| Removal of nail tissue | 381 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM9301 | NV | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Sports, Inc. | Past | Accepting new patients | |
| Desert Shores LLC | Past | Accepting new patients | |
| Advanced Podiatry of Dearborn PC | Past | Accepting new patients | |
| USA Resources | Foot & Ankle Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Podiatrist
- Las Vegas, NV
- NPI 1881077451
-
dba Complete Foot & Ankle Care
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
- NPI 1720635535
-
- Podiatrist
- West Bloomfield, MI
- NPI 1891863726
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Fairfax Station, VA
- NPI 1659967768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619014743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S RANCHO DR",
"address_2": "I-61",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064828",
"telephone_number": "702-387-8777",
"fax_number": "702-387-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S RANCHO DR",
"address_2": "I-61",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064828",
"telephone_number": "702-387-8777",
"fax_number": "702-387-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "TED",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NV",
"license": "DPM9301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.