NPIMap

Individual provider Active NPI

Hideo Koike, M.D.

  • Anesthesiology Physician
  • Valhalla, NY
National Provider Identifier
1457388951
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
226663 Issued in NY
Practice address
95 Grasslands Road
Macy Pavilion, 2ND Floor
Valhalla, NY 10595
Phone
(914) 493-7692
Fax
(914) 493-7927
NPI assigned
Jun 28, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 226663 NY Primary

Addresses

Primary practice location

95 Grasslands Road
Macy Pavilion, 2ND Floor
Valhalla, NY 10595

Mailing address

95 Grasslands Road
Macy Pavilion, 2ND Floor
Valhalla, NY 10595
Phone (914) 493-7692

Other identifiers 1

IdentifierTypeStateIssuer
02426680MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080807000536 NY Practitioner - Anesthesiology 2961576061 Reassigns benefits to 1 organization
Practice locations: New Rochelle, NY
I20220210002203 PA Practitioner - Anesthesiology 2961576061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
360 Anesthesia PLLCGroup PAC ID 5991184863, 112 clinicians

Practice addresses (Care Compare)

16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 378-6148

575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 829-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226663NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Anesthesiology Current Accepting new patients
Montefiore Medical Center CurrentSince Aug 15, 2025 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Feb 2, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Aug 15, 2025 Accepting new patients
360 Anesthesia PLLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Valhalla Anesthesia Associates, PC Anesthesiology Past Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hkoike@montefioredirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1457388951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS ROAD",
            "address_2": "MACY PAVILION, 2ND FLOOR",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7692",
            "fax_number": "914-493-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS ROAD",
            "address_2": "MACY PAVILION, 2ND FLOOR",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7692",
            "fax_number": "914-493-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOIKE",
        "first_name": "HIDEO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "226663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02426680",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.