Individual provider Active NPI

Dan Chaim Cohen, M.D.

  • Gastroenterology Physician
  • Lakeway, TX
National Provider Identifier
1891940805
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
P0363 Issued in TX
Practice address
200 Medical Pkwy Ste 110
Lakeway, TX 78738-1792
Phone
(512) 654-0150
NPI assigned
Nov 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X P0363 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

200 Medical Pkwy Ste 110
Lakeway, TX 78738-1792

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Other identifiers 1

IdentifierTypeStateIssuer
299530001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcohen275974@direct.sw.org Direct

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
I20120709000677 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 9537324967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

100 Medical Pkwy
Lakeway, TX 78738-5621
Phone (512) 571-5000

10815 Ranch Rd
2222 Suite 100
Austin, TX 78730-1159
Phone (512) 327-4262

11209 S Interstate Hwy 35
Baylor Scott and White Clinic Onion
Austin, TX 78747-1712
Phone (512) 654-4700

16018 W Hwy 71 Pass
Baylor Scott and White Clinic Bee Cave
Bee Cave, TX 78738-7115
Phone (512) 654-3900

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

200 Medical Pkwy
Lakeway, TX 78738-1794

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

5245 W Hwy 290
Baylor Scott and White Medical Center Austi
Austin, TX 78735-8963
Phone (512) 654-2100

5251 W Hwy 290
Baylor Scott and White Clinic Austin Oak Hi
Austin, TX 78735-8963
Phone (512) 654-3000

5251 W Hwy 290 100
Baylor Scott and White Cancer and Infusion Ce
Austin, TX 78735-8963
Phone (512) 654-4319

5330 Overpass Rd
Buda, TX 78610-2300

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

9521 W US Hwy 290 105
Baylor Scottandwhite Clinic Austi
Austin, TX 78736-7898
Phone (512) 654-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott and White Clinic CurrentSince Jan 24, 2017 Accepting new patients
Scott & White Clinic Current Accepting new patients
Scott & White Clinic CurrentSince Jan 24, 2017 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100

5330 Overpass Rd
Ste 110
Buda, TX 78610
Phone (737) 999-6200

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

200 Medical Pkwy
Ste 210
Lakeway, TX 78738
Phone (512) 279-2000

200 Medical Pkwy
Ste 110
Lakeway, TX 78738
Phone (512) 571-5000

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1891940805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY STE 110",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381792",
            "telephone_number": "512-654-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DAN",
        "middle_name": "CHAIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P0363",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299530001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcohen275974@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Medical Pkwy Ste 110",
            "city": "Lakeway",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787381792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.