DR. ALYSSE JACLYN COHEN (M.D.) – Diagnostic Radiology Physician, NPI 1306188081

DR. ALYSSE JACLYN COHEN (M.D.) is a healthcare provider. based in Garden city, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301103393 (MI). The NPI Number for DR. ALYSSE JACLYN COHEN (M.D.) is 1306188081

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALYSSE JACLYN COHEN (M.D.)
NPI
1306188081
Phone
(734) 458-3412
Address
6245 INKSTER RD
Enumeration Date
20 March 2013
Last Update Date
4 March 2019

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8004756112
Graduation Year
2013 (13 years ago)
PAC ID
9638301443
Group Practice PAC ID
7113456831
Professional Enrollment ID
I20190322000739
Address ID
MI481706225PL729XXTRLX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for DR. ALYSSE JACLYN COHEN (M.D.)

  • 6245 INKSTER RD

    GARDEN CITY, MI 481354001

    Phone: (734) 458-3412

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-01-28 • Largest payer in this snapshot: AngioDynamics, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AngioDynamics, Inc.$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190322000739IDiagnostic RadiologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view654414$0
71046X-ray of chest, 2 views262245$0
70450Ct scan head or brain without contrast256221$0
77067Screening mammography141141$0
74018X-ray of abdomen, 1 view11779$0
View full utilization report →

Insurance plans in this area (ZIP 48135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113456831View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic Radiology, Interventional Radiology, Interventional RadiologyIL
Diagnostic RadiologyMA
Diagnostic RadiologyNJ
Diagnostic RadiologyOH
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyMO
Diagnostic Radiology, Nuclear MedicineCA
Diagnostic RadiologyMI
Diagnostic RadiologyNJ

Reviews

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Frequently asked questions

How do I look up DR. ALYSSE JACLYN COHEN (M.D.) by NPI?
Use NPI 1306188081 when you need to reference DR. ALYSSE JACLYN COHEN (M.D.) in forms, claims, or directories.
Is DR. ALYSSE JACLYN COHEN (M.D.)'s NPI currently valid?
The extract we use shows DR. ALYSSE JACLYN COHEN (M.D.) as active.
Does DR. ALYSSE JACLYN COHEN (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. ALYSSE JACLYN COHEN (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. ALYSSE JACLYN COHEN (M.D.)'s primary listing?
We display Garden City, Michigan because that is what the record indicates for DR. ALYSSE JACLYN COHEN (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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