Individual provider Active NPI

John Kocka, M.D

  • Family Medicine Physician
  • Brecksville, OH
National Provider Identifier
1326124223
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35082293K Issued in OH
Practice address
8930 Brecksville Rd
Brecksville, OH 44141-2318
Phone
(440) 740-0696
Fax
(440) 740-0697
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35082293K OH Primary

Addresses

Primary practice location

8930 Brecksville Rd
Brecksville, OH 44141-2318

Mailing address

2830 Franklin Blvd
Cleveland, OH 44113-2978
Phone (330) 425-4310

Other identifiers 1

IdentifierTypeStateIssuer
2427216MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031118000886 OH Practitioner - Family Practice 4183538671 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082293KOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freedman Clinic of Chiropractic LLC CurrentSince Nov 1, 2012 Accepting new patients
Advanced Health and Wellness Center CurrentSince Oct 6, 2011 Accepting new patients
Advanced Spine Joint and Wellness Center Family Medicine CurrentSince May 22, 2013 Accepting new patients
Paragon Heart Group, Inc PastSince Dec 26, 2000 Accepting new patients
Minorik Chiropractic Center PastSince Feb 25, 2016 Accepting new patients
Te Physical Medicine at CHC of Parma Past Accepting new patients
Fairlawn Foot & Ankle Clinic Inc Past Accepting new patients
Clinic Regional Physicians LLC Family Medicine Past Accepting new patients

Locations

3029 Smith Rd
Ste 400
Fairlawn, OH 44333
Phone (330) 338-6141

5020 Victor Dr
Medina, OH 44256
Phone (330) 433-4243

201 Great Oaks Trl
Wadsworth, OH 44281
Phone (330) 336-9500

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1326124223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 FRANKLIN BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132978",
            "telephone_number": "330-425-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412318",
            "telephone_number": "440-740-0696",
            "fax_number": "440-740-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCKA",
        "first_name": "JOHN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35082293K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2427216",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.