Individual provider Active NPI

Eric David Cohen, MD

  • Cardiovascular Disease Physician
  • Roswell, NM
National Provider Identifier
1720065188
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD2019-0764 Issued in NM
Practice address
405 W Country Club Rd
Roswell, NM 88201-5209
Phone
(575) 624-4663
Fax
(575) 624-4907
NPI assigned
Dec 28, 2005
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 32942 AZ
Cardiovascular Disease Physician 207RC0000X 14308 AL
Interventional Cardiology Physician 207RI0011X 32942 AZ
Interventional Cardiology Physician 207RI0011X MD2019-0764 NM
Cardiovascular Disease Physician 207RC0000X MD2019-0764 NM Primary

Addresses

Primary practice location

405 W Country Club Rd
Roswell, NM 88201-5209

Mailing address

405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 624-4663

Other practice location 1

2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 226-6400

Other practice location 2

603 W Country Club Rd
Roswell, NM 88201
Phone (575) 624-0400

Other practice location 3

300 W Country Club Rd Ste 220
Roswell, NM 88201-5240
Phone (575) 624-4663

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address eric.cohen.1@1610.direct.athenahealth.com
Direct Messaging Address eric.cohen.1@1610.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080728000166 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Interventional Cardiology 2365491602 Reassigns benefits to 2 organizations
I20160510000888 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365491602 Reassigns benefits to 1 organization
I20191003000239 NM Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365491602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Clinic CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 622-8170

601 W Country Club Rd
Suite 101
Roswell, NM 88201-5227
Phone (575) 622-8170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14308ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verde Valley Medical Center CurrentSince Mar 26, 2018 Accepting new patients
Roswell Clinic Corp CurrentSince Oct 1, 2019 Accepting new patients
Verde Valley Medical Center CurrentSince Mar 26, 2018 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine Current Accepting new patients
Roswell Clinic Corp Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Flagstaff Medical Center CurrentSince May 1, 2008 Accepting new patients
Flagstaff Medical Center CurrentSince May 1, 2008 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Apr 2, 2016 Accepting new patients
Flagstaff Medical Center Current Accepting new patients
Lechee Health Facility Internal Medicine CurrentSince Apr 2, 2016 Accepting new patients
Cardiovascular Associates of North Alabama, P.C. Cardiovascular Disease Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Brookwood Diagnostic Imaging Center, LLC Past Accepting new patients
Heart South Cardiovascular Group, P.C. Cardiovascular Disease PastSince Jul 1, 2007 Accepting new patients
Southlake Orthopaedics Sports Medicine and Spine Center, PC Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 201
Flagstaff, AZ 86001
Phone (520) 214-3920

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 213-1051

300 W Country Club Rd
Ste 220
Roswell, NM 88201
Phone (505) 625-1292

350 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-1841

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

603 W Country Club Rd
Roswell, NM 88201
Phone (505) 627-4014

Interoperability endpoints

  • Direct secure messaging: eric.cohen.1@1610.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1720065188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015209",
            "telephone_number": "575-624-4663",
            "fax_number": "575-624-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015209",
            "telephone_number": "575-624-4663",
            "fax_number": "575-624-4907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Thompson St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "86001",
            "country_code": "US",
            "telephone_number": "928-226-6400",
            "fax_number": "928-226-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 W Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "88201",
            "country_code": "US",
            "telephone_number": "575-624-0400",
            "fax_number": "575-623-1702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Country Club Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015240",
            "country_code": "US",
            "telephone_number": "575-624-4663",
            "fax_number": "575-624-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ERIC",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "32942",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "14308",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "32942",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NM",
            "license": "MD2019-0764",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2019-0764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.cohen.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "300 W Country Club Rd Ste 220",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.cohen.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "405 W Country Club Rd",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.