Individual provider Active NPI

Lance Adam Cohen, M.D

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1992769954
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24583 Issued in AZ
Practice address
20701 N Scottsdale Rd
#107-499
Scottsdale, AZ 85255-6413
Phone
(602) 980-1009
Fax
(480) 563-4709
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24583 AZ Primary

Addresses

Primary practice location

20701 N Scottsdale Rd
#107-499
Scottsdale, AZ 85255-6413

Mailing address

22025 N 79TH PL
Scottsdale, AZ 85255-4893
Phone (480) 563-4706

Other identifiers 8

IdentifierTypeStateIssuer
3703234000OtherPASSPORT ADVANTAGE
102109OtherSIHO
7100073560MedicaidKY
000023036YOtherHUMANA ID
000000600845OtherANTHEM
00533097OtherKYMEDICARE
200937670MedicaidIN
50023051OtherPASSPORT PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040205000322 AZ Practitioner - Diagnostic Radiology 6709779572 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLC 380 clinicians
Howard John Simon MD PC 36 clinicians
Health Diagnostics of California a Professional Corporation 176 clinicians
Simonmed Imaging Florida LLC 302 clinicians
Howard Simon MD PLLC 61 clinicians

Practice addresses (Care Compare)

1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

10815 W McDowell Rd
102 Simonmed Imaging Avondale
Avondale, AZ 85392-5009
Phone (623) 433-0121

10825 W McDowell Rd
110 Simonmed Imaging Avondale Akos
Avondale, AZ 85392-5107
Phone (623) 251-6030

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

13090 N 94TH Dr
103 Simonmed Imaging Plaza del Rio
Peoria, AZ 85381-4257
Phone (623) 234-8770

1331 N 7TH St
150 Simonmed Imaging Phoenix High Field
Phoenix, AZ 85006-2711
Phone (602) 253-0000

1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101

13555 W McDowell Rd
100 Simonmed Imaging Goodyear
Goodyear, AZ 85395-2624
Phone (623) 213-7690

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

13657 W McDowell Rd
111 Simonmed Imaging Palm Valley II
Goodyear, AZ 85395-2602
Phone (623) 302-7930

13838 S 46TH PL
200 Simonmed Imaging Ahwatukee North
Phoenix, AZ 85044-7803
Phone (480) 763-7278

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14823 W Bell Rd
110 Simonmed Imaging Stadium Village
Surprise, AZ 85374-7604
Phone (623) 302-7900

15810 S 45TH St
110 Simonmed Imaging Ahwatukee
Phoenix, AZ 85048-7695
Phone (480) 753-6161

1664 E Florence Blvd
18 Simonmed Imaging Casa Grande
Casa Grande, AZ 85122-4779
Phone (520) 421-4875

1760 E Pecos Rd
101 Simonmed Imaging Rome Towers
Gilbert, AZ 85295-3201
Phone (480) 855-8060

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

1870 W Frye Rd
3 Simonmed Imaging Dobson II
Chandler, AZ 85224-6233
Phone (480) 264-2350

1960 W Frye Rd
1 Simonmed Imaging Dobson Womens Center
Chandler, AZ 85224-6238
Phone (480) 306-7340

20414 N 27TH Ave
150 Simonmed Imaging Deer Valley
Phoenix, AZ 85027-3246
Phone (623) 234-2520

2080 W Southern Ave BLDG C
Simonmed Imaging Apache Junction
Apache Junction, AZ 85120-7653
Phone (480) 474-5960

20830 N Tatum Blvd
190 Simonmed Imaging Desert Ridge
Phoenix, AZ 85050-7253
Phone (480) 306-7900

21115 E Rittenhouse Rd
Simonmed Imaging Rittenhouse
Queen Creek, AZ 85142-4838
Phone (480) 371-3491

Merit-based Incentive Payment System (MIPS)

Final score
85.43 of 100Reported as group
Quality
82.86
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
68.83 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24583AZMDDiagnostic Radiology Physician

Practice roles (12 of 14)

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 22, 2017 Accepting new patients
District Medical Group, Inc CurrentSince May 15, 2017 Accepting new patients
Bakorp, LLC CurrentSince Jun 1, 2007 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Jan 12, 2020 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 20, 2020 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2014 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jun 8, 2020 Accepting new patients
American Dynamic Imaging LTD PastSince Sep 13, 1996 Accepting new patients
Radiology Consultants PLLC Diagnostic Radiology Past Accepting new patients
Paradise Valley Family Medicine, PC PastSince Jan 1, 2001 Accepting new patients

Locations (25 of 83)

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

725 S Dobson Rd
Ste 105B
Chandler, AZ 85224
Phone (480) 786-2850

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

875 N Greenfield Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 545-0113

2450 E Guadalupe Rd
Ste 109
Gilbert, AZ 85234
Phone (480) 284-6019

5620 W Thunderbird Rd
Ste A
Glendale, AZ 85306
Phone (602) 336-8600

5410 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 530-6189

5410 W Thunderbird Rd
Ste 210
Glendale, AZ 85306
Phone (602) 535-5210

5410 W Thunderbird Rd
Ste 221
Glendale, AZ 85306
Phone (602) 682-5000

6320 W Union Hills Dr
Ste 120
Glendale, AZ 85308
Phone (602) 535-2840

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

456 N Mesa Dr
Mesa, AZ 85201
Phone (480) 655-7517

1457 W Southern Ave
Ste 26
Mesa, AZ 85202
Phone (480) 827-2237

130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

1111 S Dobson Rd
Ste 105
Mesa, AZ 85202
Phone (480) 964-4995

117 E Main St
Ste D100
Payson, AZ 85541
Phone (928) 468-8234

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700

9125 W Thunderbird Rd
Ste 105
Peoria, AZ 85381
Phone (623) 234-8725

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

5501 N 19th Ave
Ste 111
Phoenix, AZ 85015
Phone (602) 246-2490

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1992769954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22025 N 79TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554893",
            "telephone_number": "480-563-4706",
            "fax_number": "480-563-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20701 N SCOTTSDALE RD",
            "address_2": "#107-499",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556413",
            "telephone_number": "602-980-1009",
            "fax_number": "480-563-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LANCE",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "24583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "3703234000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "102109",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100073560",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ID",
            "identifier": "000023036Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000600845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00533097",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200937670",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT PROVIDER ID",
            "identifier": "50023051",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.