Active NPI
Artemiy Kokhanov, MD
- Neonatal-Perinatal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 72458
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-6345
- Fax
- (602) 933-8975
- NPI assigned
- Apr 10, 2015
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A155154 | CA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 80640 | MN | |
| Pediatrics Physician | 208000000X | U1062 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | U1062 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 72458 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124
Other practice location 1
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5700
Other practice location 2
400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other practice location 3
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700
Other practice location 4
2201 Hempstead Turnpike
Dept. of Pediatrics
East Meadow, NY 11554
Phone (516) 572-6177
Other practice location 5
4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209736 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1062 | TX | MD | Pediatrics Physician |
| 72458 | AZ | MD | Neonatal-Perinatal Medicine Physician |
| A155154 | CA | MD | Neonatal-Perinatal Medicine Physician |
| 80640 | MN | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Pediatrics | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Odessa | Family Medicine | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
Organizations & group practices 11
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
- Pediatrics Physician
- El Paso, TX
- NPI 1003824038
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1568858199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-6345",
"fax_number": "602-933-8975"
}
],
"practiceLocations": [
{
"address_1": "4801 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052707",
"country_code": "US",
"telephone_number": "915-215-5700",
"fax_number": "915-215-8872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E 3rd St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558051951",
"country_code": "US",
"telephone_number": "218-786-8364",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4815 Alameda Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052705",
"country_code": "US",
"telephone_number": "915-215-5700",
"fax_number": "915-215-8872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2201 Hempstead Turnpike",
"address_2": "Dept. of Pediatrics",
"address_purpose": "LOCATION",
"city": "East Meadow",
"state": "NY",
"postal_code": "11554",
"country_code": "US",
"telephone_number": "516-572-6177",
"fax_number": "516-572-5483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4845 Alameda Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052705",
"country_code": "US",
"telephone_number": "915-215-5700",
"fax_number": "915-215-8872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOKHANOV",
"first_name": "ARTEMIY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-10",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A155154",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MN",
"license": "80640",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U1062",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "U1062",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "72458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209736",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.