NPIMap

Individual provider Active NPI

Daniel Adam Cohen, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Orwigsburg, PA
National Provider Identifier
1740638931
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD468244 Issued in PA
Practice address
1165 Centre Turpike
Orwigsburg, PA 17961
Phone
(272) 639-5130
Fax
(272) 639-5152
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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
Sports Medicine (Family Medicine) Physician 207QS0010X MD468244 PA Primary

Addresses

Primary practice location

1165 Centre Turpike
Orwigsburg, PA 17961

Mailing address

75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone (856) 853-2055

Other practice location 1

15065 Kutztown Rd
Kutztown, PA 19530-9220
Phone (484) 526-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629001983 PA Practitioner - Sports Medicine 7416295365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gslpg, IncGroup PAC ID 7810226875, 269 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (272) 639-4990

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 954-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD468244PAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Gslpg, Inc CurrentSince Apr 13, 2021 Accepting new patients
St Luke's Physician Group Inc CurrentSince May 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Sports Medicine CurrentSince May 1, 2020 Accepting new patients
Gslpg Inc Past Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

15065 Kutztown Rd
Kutztown, PA 19530
Phone (484) 822-8001

15065 Kutztown Rd
Ste 200
Kutztown, PA 19530

1165 Centre Tpke
Orwigsburg, PA 17961
Phone (272) 639-5130

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Organizations & group practices 6

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 9

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1740638931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W RED BANK AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961694",
            "telephone_number": "856-853-2055",
            "fax_number": "856-848-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 CENTRE TURPIKE",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "17961",
            "telephone_number": "272-639-5130",
            "fax_number": "272-639-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15065 Kutztown Rd",
            "address_purpose": "LOCATION",
            "city": "Kutztown",
            "state": "PA",
            "postal_code": "195309220",
            "country_code": "US",
            "telephone_number": "484-526-1735",
            "fax_number": "833-705-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD468244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

Verify at the official NPI Registry.