Individual provider Active NPI

Elefterios M Kokkinos, CRNA

  • Certified Registered Nurse Anesthetist
  • Youngstown, OH
National Provider Identifier
1508334269
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
124373 Issued in OH
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 480-3658
Fax
(330) 286-5396
NPI assigned
Nov 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN381542 OH
Certified Registered Nurse Anesthetist 367500000X 124373 OH Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

4135 Boardman Canfield Rd Ste 101
Canfield, OH 44406-9803
Phone (330) 286-5330

Other practice location 1

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-7000

Other practice location 2

8401 Market St
Youngstown, OH 44512-6725
Phone (330) 729-2929

Other identifiers 2

IdentifierTypeStateIssuer
0437680MedicaidOH
14403773OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210423000718 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476886649 Reassigns benefits to 4 organizations
I20250624001614 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476886649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

4319 Executive Cir NW
Canton, OH 44718-2999
Phone (330) 526-0530

7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

Hospital & facility affiliations

  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN381542OHMDRegistered Nurse
124373OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Intensive Care Consultants,Inc. Nurse Anesthetist, Certified Registered CurrentSince May 2, 2022 Accepting new patients
Bel-Park Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 26, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince May 2, 2022 Accepting new patients
Triad Health Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 19, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 7, 2025 Accepting new patients
Optimum Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 7, 2025 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215

4319 Executive Cir NW
Canton, OH 44718
Phone (330) 526-0530

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 3

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": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1508334269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BOARDMAN CANFIELD RD STE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069803",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3658",
            "fax_number": "330-286-5396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-844-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126725",
            "country_code": "US",
            "telephone_number": "330-729-2929",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOKKINOS",
        "first_name": "ELEFTERIOS",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-10",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN381542",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "124373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437680",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14403773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.