ANDREW COHEN
NPI 1396321071
Pediatrics in Boston, MA

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, Dec 22, 2024, Mar 22, 2021 (3 updates tracked since 2021).

About Andrew Cohen NPPES

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

ANDREW COHEN (NPI 1396321071) is an individual pediatrics provider in Boston, Massachusetts, licensed in Rhode Island (MD20702) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Tufts University School Of Medicine (2021).

NPPES Registry Identity

NPI1396321071
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDREW COHEN
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address110 Elm StProvidence, RI 02903-4626
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1396321071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in RI · MD20702✔ Licensed in MA · 1018685
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 1593 Eddy St., Claverick 2Providence, RI 02903 · Phone (401) 444-4000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Cohen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789092990
PECOS Enrollment IDI20250818004280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Andrew Cohen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 clinicians in this Medicare group
Emergency Medicine
81 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 994 clinicians in this Medicare group
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
Emergency Medicine
593 EDDY ST, CLAVERICK 2
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 201 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Andrew Cohen's NPI number?

The NPI number for Andrew Cohen is 1396321071. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Andrew Cohen located?

Andrew Cohen practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 643-0707.

What is Andrew Cohen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Andrew Cohen enrolled in Medicare?

Yes. Andrew Cohen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Cohen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Cohen reassigns Medicare benefits to 6 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA), Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA), Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA), Lifespan Physician Group, Inc. (Providence, RI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Cohen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Cohen accept?

Health plans from WellSense Health Plan list Andrew Cohen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Cohen was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.