NPIMap

Individual provider Active NPI

Rafael G Cohen, PA-C

  • Physician Assistant
  • Quantico, VA
National Provider Identifier
1922023928
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003525 Issued in VA
Practice address
Fbi Academy
HRT Building
Quantico, VA 22135-0001
Phone
(703) 632-1632
Fax
(703) 632-1592
NPI assigned
Jul 12, 2006
Last updated
Feb 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003525 VA Primary

Addresses

Primary practice location

Fbi Academy
HRT Building
Quantico, VA 22135-0001

Mailing address

Fbi Academy
HRT Building
Quantico, VA 22135-0001
Phone (703) 632-1632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260123001607 TX Practitioner - Physician Assistant 1759868425 Reassigns benefits to 1 organization
I20260316001095 AK Practitioner - Physician Assistant 1759868425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

436 5TH St
Kotzebue, AZ 99752-0043

PO Box
Suite 43
Kotzebue, AK 99752-0043

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110003525VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Sep 1, 2025 Accepting new patients
Maniilaq Association CurrentSince Dec 21, 2025 Accepting new patients

Organizations & group practices 3

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 12

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1922023928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FBI ACADEMY",
            "address_2": "HRT BUILDING",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221350001",
            "telephone_number": "703-632-1632",
            "fax_number": "703-632-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FBI ACADEMY",
            "address_2": "HRT BUILDING",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221350001",
            "telephone_number": "703-632-1632",
            "fax_number": "703-632-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RAFAEL",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quantico, VA

Sources for this page

Verify at the official NPI Registry.