Individual provider Active NPI

Peggy C. Kalkounos, DO

  • Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1083923817
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS11041 Issued in FL
Practice address
21 Barkley Cir
Fort Myers, FL 33907-7531
Phone
(239) 939-2616
Fax
(239) 939-9093
NPI assigned
Sep 28, 2010
Last updated
Apr 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS11041 FL Primary

Addresses

Primary practice location

21 Barkley Cir
Fort Myers, FL 33907-7531

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 3

IdentifierTypeStateIssuer
P00877440OtherFLRAILROAD MCR
002823900MedicaidFL
9033619OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161227001160 CA Practitioner - General Surgery 8022202191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
86.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Mar 4, 2026 Accepting new patients
Reedley Community Hospital CurrentSince Jan 16, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Jan 16, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Mar 4, 2026 Accepting new patients

Locations

300 S Leon S. Peters Blvd
Fowler, CA 93625
Phone (559) 834-1614

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1041 Rose Ave
Selma, CA 93662
Phone (559) 856-6090

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1083923817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077531",
            "telephone_number": "239-939-2616",
            "fax_number": "239-939-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKOUNOS",
        "first_name": "PEGGY",
        "middle_name": "C.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS11041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MCR",
            "identifier": "P00877440",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002823900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9033619",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.