Individual provider Active NPI

Kevin Tchokouani, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1033797345
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD486433 Issued in PA
Practice address
5753 Wayne Ave
Philadelphia, PA 19144-3347
Phone
(215) 848-8800
Fax
(215) 848-6036
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Medicine Physician 207Q00000X MD486433 PA Primary

Addresses

Primary practice location

5753 Wayne Ave
Philadelphia, PA 19144-3347

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825

Other practice location 1

7450 Hospital Dr Ste 4500
Dublin, OH 43016-9693
Phone (614) 544-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240927001091 PA Practitioner - Family Practice 2567861222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

5753 Wayne Ave
Philadelphia, PA 19144-3347
Phone (215) 848-8800

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.96
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486433PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Sep 13, 2024 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Sep 13, 2024 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5753 Wayne Ave
Philadelphia, PA 19144
Phone (215) 848-8800

Interoperability endpoints

  • Direct secure messaging: kevin.tchokouani.1@19222.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1033797345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-1825",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5753 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443347",
            "telephone_number": "215-848-8800",
            "fax_number": "215-848-6036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Hospital Dr Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169693",
            "country_code": "US",
            "telephone_number": "614-544-8000",
            "fax_number": "614-788-0587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHOKOUANI",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD486433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.