Individual provider Active NPI

Jared Cohen, M.D. , MA

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1669836219
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1669836219 Issued in TX
Practice address
3551 Roger Brooke Drive
McHe/Me
San Antonio, TX 78234
Phone
(484) 686-2986
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 1669836219 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Drive
McHe/Me
San Antonio, TX 78234

Mailing address

1901 Callowhill St
Apt 314
Philadelphia, PA 19130-4150
Phone (484) 686-2986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200921002440 TX Practitioner - Emergency Medicine 8820411101 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

Hospital & facility affiliations

  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1669836219TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince Oct 5, 2022 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
Shannon Clinic CurrentSince Jan 23, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations (25 of 28)

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

2237 S Jackson St
San Angelo, TX 76904
Phone (325) 481-2257

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

Interoperability endpoints

  • Direct secure messaging: jcohen186792@direct.phs.org
  • Direct secure messaging: jcohen296377@christushealth.direct-ci.net
  • Direct secure messaging: jcohen160877@direct-guthrie.org

Organizations & group practices 5

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 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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1669836219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CALLOWHILL ST",
            "address_2": "APT 314",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304150",
            "telephone_number": "484-686-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DRIVE",
            "address_2": "MCHE/ME",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "484-686-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "M.D. , MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "1669836219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.