Individual provider Active NPI

Mitchell Bradley Cohen, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Pembroke Pines, FL
National Provider Identifier
1669572400
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME69057 Issued in FL
Practice address
2213 N University Dr Ste a
Pembroke Pines, FL 33024-3611
Phone
(954) 963-2151
Fax
(954) 966-6629
NPI assigned
Sep 22, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME69057 FL
Cardiovascular Disease Physician 207RC0000X ME69057 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME69057 FL Primary

Addresses

Primary practice location

2213 N University Dr Ste a
Pembroke Pines, FL 33024-3611

Mailing address

3700 Washington St Ste 500a
Hollywood, FL 33021-8256
Phone (954) 989-4700

Other practice location 1

3700 Washington St
#500
Hollywood, FL 33021-8256
Phone (954) 989-4700

Other identifiers 6

IdentifierTypeStateIssuer
25119OtherFLNEIGHBORHOOD HEALTH
236328OtherFLAVMED
BA500OtherFLGROUP MEDICARE
5599519OtherFLAETNA
BC&BSOtherFL28918
250842700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040913000171 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 2668449471 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
George Washington University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miramar Ekg ReadersGroup PAC ID 4183641947, 20 clinicians
Pinnacle Healthcare SystemGroup PAC ID 3072675677, 6 clinicians
Memorial Ekg Associates PAGroup PAC ID 9931183191, 32 clinicians
Hollywood Medical Center Ekg Associates PAGroup PAC ID 8628052891, 29 clinicians
Ekg Associates IncGroup PAC ID 8527956549, 36 clinicians
Cardiology and Neurology Associates IncGroup PAC ID 1759364003, 25 clinicians

Practice addresses (Care Compare)

1901 SW 172ND Ave
Ekg Readers Panel
Miramar, FL 33029-5592
Phone (954) 538-5000

2213 N University Dr Stea
Pinnacle Healthcare System LLC
Pembroke Pines, FL 33024-3611
Phone (954) 963-2151

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 354-2600

3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 966-4500

703 N Flamingo Rd
Ekg Readers Panel
Pembroke Pines, FL 33028-1006
Phone (954) 726-1808

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair16
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Ekg Associates PA Internal Medicine CurrentSince Feb 6, 2004 Accepting new patients
Hollywood Medical Center Ekg Associates PA Cardiovascular Disease CurrentSince May 20, 2009 Accepting new patients
Ekg Associates Inc Cardiovascular Disease CurrentSince May 4, 2010 Accepting new patients
Cardiology & Neurology Associates Inc Cardiovascular Disease CurrentSince Mar 1, 2000 Accepting new patients
Miramar Ekg Readers Cardiovascular Disease CurrentSince Jan 27, 2010 Accepting new patients
Biscayne Echo Associates Inc Cardiovascular Disease Past Accepting new patients
Mitchell B Cohen MD PA Specialist PastSince Jan 15, 2000 Accepting new patients
Biscayne Ekg Associates Inc Cardiovascular Disease Past Accepting new patients

Locations

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mitchell.cohen@pinnhealth.eclinicaldirectplus.com

Organizations & group practices 9

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 5

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1669572400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 500A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-989-4700",
            "fax_number": "954-966-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 N UNIVERSITY DR STE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-963-2151",
            "fax_number": "954-966-6629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington St",
            "address_2": "#500",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218256",
            "country_code": "US",
            "telephone_number": "954-989-4700",
            "fax_number": "954-989-4754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MITCHELL",
        "middle_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69057",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME69057",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME69057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "25119",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "236328",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "BA500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5599519",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "28918",
            "identifier": "BC&BS",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250842700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.