DR. MITCHELL AARON COHN D.O.
NPI 1104083179
General Practice in Portage, MI

Q: What is Mitchell Cohn's NPI number?

The NPI number for Mitchell Cohn is 1104083179. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Q: What is Mitchell Cohn's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Mitchell Cohn enrolled in Medicare?

No. Mitchell Cohn has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Cohn was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2008Opted out of Medicare · through Jun 17, 2028

1416 W MILHAM AVE, PORTAGE, MI 49024(269) 290-7700(888) 807-1562 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mitchell Aaron Cohn D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITCHELL AARON COHN D.O. (NPI 1104083179) is an individual general practice provider in Portage, Michigan, licensed in Michigan (5101012527) and active in the NPI registry since May 2008. He has opted out of Medicare through June 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104083179

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. MITCHELL AARON COHNCredential: D.O.

Location Address1416 W MILHAM AVEPortage, MI 49024-2245

Mailing Address3700 52nd St SeGrand Rapids, MI 49512-9637 · (616) 656-3700 · Fax (616) 656-3701

Phone(269) 290-7700

Fax(888) 807-1562

Sole ProprietorNo

Enumeration DateMay 19, 2008

Last NPPES UpdateJuly 20, 2016

✔ NPI 1104083179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 5101012527

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1416 W MILHAM AVE, Portage, MI 49024

Open in Google Maps ↗

Other Identifiers 4

Medicare UPING61631MI

Other01-00603MI · Physicians Health Plan Of Mid Michigan

Other5330177MI · Blue Cross/blue Shield

Medicare PINOM54690MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mitchell Aaron Cohn D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2020 through June 17, 2028.

Opt-Out Effective DateJune 17, 2020

Opt-Out In Effect ThroughJune 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY ANN BUKOWSKI D.D.S.

Dentist (General Practice)

1416 W MILHAM AVE
PORTAGE, MI 49024

Kalamazoo County (269) 381-0564

WEST MILHAM DENTAL PROFESSIONALS PLLC

Clinic/Center (Dental)

1416 W MILHAM AVE
PORTAGE, MI 49024

Kalamazoo County (269) 381-0564

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Cohn's NPI number?

The NPI number for Mitchell Cohn is 1104083179. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Mitchell Cohn located?

Mitchell Cohn practices at 1416 W Milham Ave, Portage, MI 49024. The listed phone number is (269) 290-7700.

What is Mitchell Cohn's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mitchell Cohn enrolled in Medicare?

No. Mitchell Cohn has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mitchell Cohn was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.