Individual provider Active NPI

Michael Cohen, MD

  • Plastic Surgery Physician
  • Newport News, VA
National Provider Identifier
1790933034
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101254395 Issued in VA
Practice address
895 City Center Blvd
Newport News, VA 23606-3079
Phone
(757) 873-3500
Fax
(757) 591-5240
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 60383901 WA
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 0101254395 VA Primary

Addresses

Primary practice location

895 City Center Blvd
Newport News, VA 23606-3079

Mailing address

PO Box 1128
Olalla, WA 98359-1128
Phone (253) 509-3752

Other practice location 1

4700 Point Fosdick Dr NW Ste 208
Gig Harbor, WA 98335
Phone (253) 313-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130910000055 WA Practitioner - Plastic and Reconstructive Surgery 4688819154
I20240701000636 VA Practitioner - Plastic and Reconstructive Surgery 4688819154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Center of Hampton Roads PCGroup PAC ID 4587751227, 5 clinicians

Practice addresses (Care Compare)

895 City Ctr Blvd
Suite 300
Newport News, VA 23606-3080
Phone (757) 873-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60383901WAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Center of Hampton Roads, PC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Center for Restorative Breast Surgery LLC Multi-Specialty Past Accepting new patients

Locations

895 City Center Blvd
Ste 300
Newport News, VA 23606
Phone (757) 873-3500

5424A Discovery Park Blvd
Ste 202
Williamsburg, VA 23188

Organizations & group practices 2

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 2

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1790933034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "OLALLA",
            "state": "WA",
            "postal_code": "983591128",
            "telephone_number": "253-509-3752",
            "fax_number": "833-260-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 CITY CENTER BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063079",
            "telephone_number": "757-873-3500",
            "fax_number": "757-591-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Point Fosdick Dr NW Ste 208",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "98335",
            "country_code": "US",
            "telephone_number": "253-313-0443",
            "fax_number": "833-260-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "60383901",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101254395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.