GERALD I COHEN MD
NPI 1396731527
Internal Medicine - Cardiovascular Disease in Detroit, MI

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
83.35/100
CMS Quality Rating
22151 MOROSS RD, 105, DETROIT, MI 48236(313) 343-6390(313) 343-3912 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gerald I Cohen Md NPPES

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

GERALD I COHEN MD (NPI 1396731527) is an individual cardiovascular disease provider in Detroit, Michigan, licensed in Michigan (4301062796) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1396731527
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGERALD I COHENCredential: MD
Location Address22151 MOROSS RD, 105Detroit, MI 48236-2167
Mailing Address43800 Garfield RdClinton Twp, MI 48038-1136 · (800) 848-0202 · Fax (586) 226-6949
Fax(313) 343-3912
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 22, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396731527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 4301062796
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
22151 MOROSS RD, Detroit, MI 48236

Other Identifiers 3

Medicaid4431849MI
Medicare UPINF13168
Medicare ID-Type UnspecifiedM71670050

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

Gerald I Cohen Md 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 ID5890983159
PECOS Enrollment IDI20101230000733
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

2

Medicare enrollment records show Gerald Cohen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Social Worker
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • 520 clinicians in this Medicare group
Psychiatry
16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health Providence Hospital
  • 393 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
124 services123 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
59 services58 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

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.

Student in an Organized Health Care Education/Training Program
22151 MOROSS RD
DETROIT, MI 48236
Obstetrics & Gynecology
22151 MOROSS RD, SUITE 313
DETROIT, MI 48236
Social Worker (Clinical)
22151 MOROSS RD, PB1 SUITE 334
DETROIT, MI 48236
Internal Medicine
22151 MOROSS RD
DETROIT, MI 48236
Internal Medicine (Rheumatology)
22151 MOROSS RD
DETROIT, MI 48236
Counselor (Professional)
22151 MOROSS RD, PB1, STE. 334
DETROIT, MI 48236
Nurse Anesthetist, Certified Registered
22151 MOROSS RD
DETROIT, MI 48236
Counselor (Professional)
22151 MOROSS RD
DETROIT, MI 48236

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 Gerald Cohen's NPI number?

The NPI number for Gerald Cohen is 1396731527. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Gerald Cohen located?

Gerald Cohen practices at 22151 Moross Rd 105, Detroit, MI 48236. The listed phone number is (313) 343-6390.

What is Gerald Cohen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gerald Cohen enrolled in Medicare?

Yes. Gerald 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 Gerald Cohen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Cohen reassigns Medicare benefits to 2 organizations: Henry Ford Health St. John Hospital (Detroit, MI) and Ascension Providence Hospital (Southfield, MI). 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 Gerald Cohen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerald Cohen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Gerald 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.

Is Gerald Cohen affiliated with any hospitals?

According to CMS data, Gerald Cohen is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Cohen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.