Active NPI
Kevin Tchokouani, MD
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD486433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
5753 Wayne Ave
Philadelphia, PA 19144-3347
Phone (215) 848-8800
Hospital & facility affiliations
- Jefferson Einstein Philadelphia Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD486433 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Community Health Associates, Inc | Family Medicine | Current | Accepting new patients |
| Einstein Community Health Associates, Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Phila, PA
- NPI 1558316109
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1427662931
-
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.