Active NPI
Christopher Travis Koke, DO
- Family Medicine Physician
- Amagansett, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 261724
- Practice address
- 518 Montauk Hwy Ste 102
Amagansett, NY 11930-2110 - Phone
- (631) 267-5373
- Fax
- (631) 267-5376
- NPI assigned
- Aug 5, 2010
- 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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 261724 | NY | |
| Family Medicine Physician | 207Q00000X | 261724 | NY | Primary |
Addresses
Primary practice location
518 Montauk Hwy Ste 102
Amagansett, NY 11930-2110
Mailing address
4 Springville Rd Ste B
Hampton Bays, NY 11946-2290
Phone (631) 283-1126
Other practice location 1
147 Beach Rd Ste A
Westhampton Beach, NY 11978-1733
Phone (631) 288-7746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
470 Montauk Hwy
East Hampton, NY 11937-2648
Phone (631) 329-5900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Doctors LLC | Family Medicine | Current | Accepting new patients |
| Liberty Doctors, LLC | Family Medicine | Current | Accepting new patients |
| Meeting House Lane Medical Practice PC | Current | Accepting new patients |
Locations
470 Pantigo Rd
East Hampton, NY 11937
Phone (631) 329-5900
4 Springville Rd
Ste B
Hampton Bays, NY 11946
679 Montauk Hwy
Montauk, NY 11954
Phone (631) 665-8200
325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100
147 Beach Rd
Ste A
Westhampton Beach, NY 11978
Phone (631) 288-7746
418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320
2175 Ashley Phosphate Rd
Ste D
North Charleston, SC 29406
Phone (843) 764-0770
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1902088495
-
- Family Medicine Physician
- Charleston, SC
- NPI 1700162203
-
- Family Medicine Physician
- North Charleston, SC
- NPI 1376854406
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1396836219
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1386958080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SPRINGVILLE RD STE B",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119462290",
"telephone_number": "631-283-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 MONTAUK HWY STE 102",
"city": "AMAGANSETT",
"state": "NY",
"postal_code": "119302110",
"telephone_number": "631-267-5373",
"fax_number": "631-267-5376"
}
],
"practiceLocations": [
{
"address_1": "147 Beach Rd Ste A",
"address_purpose": "LOCATION",
"city": "Westhampton Beach",
"state": "NY",
"postal_code": "119781733",
"country_code": "US",
"telephone_number": "631-288-7746",
"fax_number": "631-288-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOKE",
"first_name": "CHRISTOPHER",
"middle_name": "TRAVIS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "261724",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "261724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amagansett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.