Individual provider Active NPI

Michael Cohen, M.D.

  • Specialist
  • Stafford, VA
National Provider Identifier
1891783551
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101032992 Issued in VA
Practice address
24 Onville Rd
Suite 205
Stafford, VA 22556-3831
Phone
(540) 658-0825
Fax
(540) 658-0835
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101032992 VA Primary

Addresses

Primary practice location

24 Onville Rd
Suite 205
Stafford, VA 22556-3831

Mailing address

24 Onville Rd
Suite 205
Stafford, VA 22556-3831
Phone (540) 658-0825

Other identifiers 4

IdentifierTypeStateIssuer
30860001OtherVACAREFIRST BC BS
005804086MedicaidVA
372340481OtherVAHEALTHNET
285621OtherVAANTHEM BC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070810000630 VA Practitioner - NeurologyPractitioner - Internal Medicine 7911098595 Practice locations: Stafford, VA

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
University of Maryland School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Onville Rd
Suite 205
Stafford, VA 22556-3832
Phone (540) 658-0825

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford Neurology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcohen@michaelcohen.direct.emds.com

Organizations & group practices 1

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 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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1891783551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ONVILLE RD",
            "address_2": "SUITE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563831",
            "telephone_number": "540-658-0825",
            "fax_number": "540-658-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ONVILLE RD",
            "address_2": "SUITE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563831",
            "telephone_number": "540-658-0825",
            "fax_number": "540-658-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101032992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "30860001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005804086",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "372340481",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "285621",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.